Doctor profile · Federal record
Dr. Simone Moore, MD
Pediatrics Physician · Student in an Organized Health Care Education/Training Program · Mound Bayou, MS
- NPI 1730602806
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
702 Martin Luther King St
Mound Bayou, MS 387629314
(662) 741-8800
fax (662) 741-8925 - Additional location
-
2500 N State St
Jackson, MS 392164500
(601) 984-5200
fax (601) 984-5200
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- August 13, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Mississippi #27978
- Medicaid
- MS #04501349
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730602806. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $18.19 |
By nature of payment
Frequently asked questions
What is Dr. Simone Moore's medical specialty?
Dr. Simone Moore practices Pediatrics Physician in Mound Bayou, MS.
Where does Dr. Simone Moore practice?
Dr. Simone Moore practices at 702 Martin Luther King St, Mound Bayou, MS 387629314. Office phone: 6627418800.
What is Dr. Simone Moore's NPI?
Dr. Simone Moore's National Provider Identifier (NPI) is 1730602806, issued by NPPES.