Simone Shardae Williams Moore, MD
Pediatrics Physician · Mound Bayou, MS
Simone Shardae Williams Moore, MD is a pediatrics physician with a practice address in Mound Bayou, Mississippi, and NPI 1730602806, issued on Jul 20, 2017. Check the license (Mississippi 27978, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Simone Shardae Williams Moore
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 27978 MS
Self-reported in NPPES; status is on the state search - Practice location
- 702 Martin Luther King St, Mound Bayou, MS 38762
- Phone
- (662) 741-8800
- Enumerated
- Jul 20, 2017
- Record last updated
- Aug 13, 2025
- Fax
- (662) 741-8925
- Medicaid ID
- 04501349 MS
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 417 in Mississippi → Look up another NPI →
Also registered at 702 Martin Luther King St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Meta Anderson, FNP-CFamily Nurse Practitioner1477090728
- Lasheena Armstrong, MSN CNM RNC-OBAdvanced Practice Midwife1154941375
- George Benford, D.M.D.Dentist1174716336
- Waynesha Blaylock, MDPediatrics Physician1720721178
- Marketta BlueFamily Medicine Physician1548671514
- Carolyn Eubanks, DMDDentist1033207568
Verify Simone Shardae Williams Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 27978Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $18.19
1 payment: food and beverage; the largest payer was Pfizer Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Simone Shardae Williams Moore among 417 pediatrics physician records in Mississippi
Simone Shardae Williams Moore, MD is one of 417 pediatrics physician records with a practice address in Mississippi. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 76% of them.
- NPI issued2017 · 76% of these records are older, 22% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2025 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 pediatrics physician records list a practice address in Mound Bayou
They are 2 of the 26 NPPES records with a practice address in Mound Bayou, and 417 pediatrics physician records in Mississippi.
All 417 in Mississippi → Every provider in Mound Bayou → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Waynesha Blaylock, MDMound Bayou, MS 387621720721178
- Sallyann Ganpot, MDRuleville, MS 387711508187162
- Nohemie Brevil, M.D., FAAPCleveland, MS 387321073886446
- Robert Tibbs, M.D.Cleveland, MS 387321679506760
- Alexa Currey, MDTupelo, MS 388011578766374
- Jennifer Grisham, M.D.Tupelo, MS 388011952406589
- Thomas Ireland, M.D.Tupelo, MS 388011821018144
- Milan Ivancic, MDTupelo, MS 388011023034477
Common questions
What is Simone Shardae Williams Moore, MD's NPI number?
Simone Shardae Williams Moore, MD's National Provider Identifier (NPI) is 1730602806, issued on Jul 20, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Simone Shardae Williams Moore, MD located?
The NPPES record lists a practice address at 702 Martin Luther King St, Mound Bayou, MS, 38762. Phone: (662) 741-8800. Providers update this record themselves, so call before visiting.
How can I verify Simone Shardae Williams Moore, MD's license?
NPPES lists Mississippi license number 27978, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.