Joseph S Moak Jr MD PA
NPI 1043639289ActiveOrganization· Internal Medicine· Brookhaven, MS
Internal Medicine in Brookhaven, Mississippi, registered in NPPES in April 2014. The authorized official on file is Antha R. Restivo, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043639289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | May 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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