REBECCA SUZANNE MOORE M.D.
NPI 1346536182
Pediatrics - Neonatal-Perinatal Medicine in Jackson, MS

Q: What is Rebecca Moore's NPI number?

The NPI number for Rebecca Moore is 1346536182. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Rebecca Moore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Moore was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2011PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5262 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Nov 2, 2017 (2 updates tracked since 2017).

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About Rebecca Suzanne Moore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA SUZANNE MOORE M.D. (NPI 1346536182) is an individual neonatal-perinatal medicine provider in Jackson, Mississippi, licensed in Mississippi (24834) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346536182

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameREBECCA SUZANNE MOORECredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5262

Phone(601) 984-5262

Sole ProprietorNo

Enumeration DateJune 20, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1346536182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MS · 24834

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License MMD.33680LL (SC)

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Suzanne Moore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)