Simone Shardae Williams Moore, MD
NPI 1730602806ActiveIndividual· Pediatrics· Mound Bayou, MS
Pediatrics (MD) in Mound Bayou, Mississippi, licensed in MS, with an NPI issued in July 2017. Enrolled in Medicare as practitioner - pediatric medicine. Pfizer Inc. reported $18.19 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1730602806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 20, 2017 |
| Last updated in NPPES | Aug 13, 2025 |
| Certified by provider | Aug 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 27978 | MS |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MS) |
|---|
Industry payments (Open Payments)
- 2024$18.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $18.19 | 1 |
What the 2024 payments were for
- Food and Beverage$18.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Mound Bayou
- 1720721178