Individual provider Active NPI

William Scott Moore, M.D.

  • Nephrology Physician
  • Winston Salem, NC
National Provider Identifier
1407855968
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23953 Issued in NC
Practice address
730 Highland Oaks Dr
Suite 201
Winston-Salem, NC 27103-7108
Phone
(336) 768-2425
Fax
(336) 768-4915
NPI assigned
Jul 18, 2005
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23953 NC
Nephrology Physician 207RN0300X 23953 NC Primary

Addresses

Primary practice location

730 Highland Oaks Dr
Suite 201
Winston-Salem, NC 27103-7108

Mailing address

730 Highland Oaks Dr
Suite 201
Winston-Salem, NC 27103-7108
Phone (336) 768-2425

Other identifiers 2

IdentifierTypeStateIssuer
60539OtherNCBCBS
8960539MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
W Scott Moore Et Al PTR Nephrology Current Accepting new patients
Nephrology Associates, P.L.L.C. PastSince Feb 6, 2022 Accepting new patients

Locations

10 Laura Ln
Thomasville, NC 27360
Phone (336) 472-4500

730 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 768-2425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1407855968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR",
            "address_2": "SUITE 201",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR",
            "address_2": "SUITE 201",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23953",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "23953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.