Jung Joo Moon, M.D., M.M.S

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

90144 Issued in GA

Practice address

2875 Lakewood Ave SW # A5
Atlanta, GA 30315-5801

Phone

(713) 904-0106

Fax

(862) 227-4081

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Fillers.Ai Corporation

  • Clinic/Center
  • San Francisco, CA
  • NPI 1346037165
  NPD Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1083078315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 LAKEWOOD AVE SW STE 1138",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155801",
            "telephone_number": "713-904-0106",
            "fax_number": "862-227-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 LAKEWOOD AVE SW # A5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155801",
            "telephone_number": "713-904-0106",
            "fax_number": "862-227-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JUNG",
        "middle_name": "JOO",
        "credential": "M.D., M.M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "646517",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "70750",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "90144",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "76451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine R Moon-Woodbury
• Brittany Tearo Moon, PA-C, MMSC
• Ciara Moon
• Daniel Moon, PA
• John Timothy Moon, MD
• Justin Moon
• Kevin Thomas Moon
• Niesha Michelle Moon
• Sara Moon, BCBA
• Susan S Moon, MD

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.