HALF MOON MEDICAL ASSOCIATES PLLC NPI 1558774422

NPI Information

  • NPI: 1558774422
  • Provider Name: HALF MOON MEDICAL ASSOCIATES, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 19701 W CATAWBA AVE
    SUITE F
    CORNELIUS, NC
    ZIP 28031
  • Phone: (704) 895-7819

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NPI Details

HALF MOON MEDICAL ASSOCIATES, PLLC is a professional counselor in Cornelius, NC. HALF MOON MEDICAL ASSOCIATES, PLLC NPI is 1558774422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19701 W CATAWBA AVE
SUITE F
CORNELIUS, NC
ZIP 28031-080
Phone: (704) 895-7819
Fax: (704) 896-7819

The provider's authorized official is Gregory Moon .
The authorized official title is Clinical Director and has the following contact phone number (704) 989-1031.

The enumeration date for this NPI number is 6/8/2014 and was last updated on 6/8/2014.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)3337NORTH CAROLINANo
2101YM0800XCounselorMental Health8466NORTH CAROLINANo
3207R00000XInternal Medicine39164NORTH CAROLINANo
4207RA0401XInternal MedicineAddiction Medicine39164NORTH CAROLINANo
5101YP2500XCounselorProfessional8466NORTH CAROLINAYes

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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