Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184655060 Individual Practitioner Male Practitioner

Dr. Thomas C Moore , MD

Pediatrics • Vicksburg, MS

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Moore, MD is a registered healthcare professional specializing in Pediatrics in Vicksburg, MS. Practice services are available at 1115 N FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1115 N Frontage Rd

Vicksburg, MS 391805102

Telephone 6016348790
Associated Practice Facility / Clinic
🏢 Vicksburg Clinic Llc Facility NPI 1659307791

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vicksburg, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Vicksburg, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 14614

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00115748 (MS)
Medicaid State Provider ID
1693804 (LA)
Commercial Insurance / Payer ID Aetna
5699557 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1639259518

Doctor of Medicine (M.D.)

Dr. Anita Tribble , MD

Internal Medicine

NPI 1801824495

Doctor of Medicine (M.D.)

NPI 1831127422

Doctor of Medicine (M.D.)

Dr. Philip Scurria , MD

Psychiatry & Neurology - Psychiatry

NPI 1861423766

Doctor of Medicine (M.D.)

Rebecca Tustain , NP

Nurse Practitioner

NPI 1992730998

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2008

Registered at 1115 N FRONTAGE RD, VICKSBURG, MS 391805102 (Tel: 6016348790)

📍
Updated Business Mailing Address August 05, 2008

Registered at 1115 N FRONTAGE RD, VICKSBURG, MS 391805102 (Tel: 6016348790)

👤
Provider Name / Credentials Updated August 05, 2008

Recorded as THOMAS MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2008

Pediatrics (License #14614 in MS)

🟢
Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184655060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: August 05, 2008
Sole Proprietor: No

Mailing Address

1115 N Frontage Rd

Vicksburg, MS 391805102

Phone: 6016348790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.