Healthcare Provider Details

I. General information

NPI: 1083550339
Provider Name (Legal Business Name): NAJI ELIAS MOUSSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 N STATE STREET
JACKSON MS
39216
US

IV. Provider business mailing address

905 N STATE ST UNIT 254
JACKSON MS
39202-2627
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-1000
  • Fax:
Mailing address:
  • Phone: 601-212-4243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT-5987
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: