Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Wyatt Moore, NP

Individual provider Nurse Practitioner · NPI 1407089907

William Wyatt Moore, NP is a Nurse Practitioner in Gautier, Mississippi. Qualified in 2007, 19 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2105 Old Spanish Trl
Gautier, MS 39553-6000
Phone: (228) 497-9123
Fax: (228) 497-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R867645 (MS)

Record details

NPI number1407089907
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 31, 2009
Last updated in NPPESSeptember 13, 2013
Mailing address2105 Old Spanish Trl, Gautier, MS 39553-6000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Gautier