Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Moore

Individual provider Urology Physician · NPI 1063824688

John Moore is an Urology in Hattiesburg, Mississippi. Qualified in 2014, 12 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
12
Licensed in
FL, MS
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 268-5888
Fax: (601) 261-3587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 26534 (MS)
Urology Physician Taxonomy 208800000X · Licence ME124782 (FL)
Urology Physician Taxonomy 208800000X · Licence 19690 (FL)

Record details

NPI number1063824688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hattiesburg