JUNG JOO MOON M.D. M.M.S NPI 1083078315

NPI Information

  • NPI: 1083078315
  • Provider Name: JUNG JOO MOON, M.D., M.M.S
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 2875 LAKEWOOD AVE SW # A5
    ATLANTA, GA
    ZIP 30315
  • Phone: (713) 904-0106

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NPI Details

Jung Joo Moon, M.D., M.M.S is a general practice in Atlanta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jung Joo Moon, M.D., M.M.S NPI is 1083078315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2875 LAKEWOOD AVE SW # A5
ATLANTA, GA
ZIP 30315-801
Phone: (713) 904-0106
Fax: (862) 227-4081

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology70750MINNESOTANo
2208D00000XGeneral Practice76451WISCONSINNo
3390200000XStudent in an Organized Health Care Education/Training Program646517TEXASNo
4208D00000XGeneral Practice90144GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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