Somang Moon, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

13693 Issued in NC

Practice address

110 Carlton Street
593 Aderhold Hall
Athens, GA 30602-5004

Phone

(706) 542-4598

Fax

(706) 249-4249

NPI assigned

Apr 22, 2015

Last updated

Jan 9, 2026By the provider in NPPES

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

Other names 1

• So Mang Moon Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Board of Regents of the University System of GeorgiaGroup PAC ID 8729060967, 9 clinicians

Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smoon291951@direct.vidanthealth.com

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.

• Board of Regents of the University System of Georgia

  dba The University of Georgia Speech and Hearing Clinic

  • Audiologist
  • Athens, GA
  • NPI 1376640557
  Medicare reassignment Care Compare group NPD
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  Medicare reassignment Care Compare group
• Board of Regents of the University System of Georgia

  dba University of Georgia College of Pharmacy

  • Pharmacy
  • Athens, GA
  • NPI 1629394820
  NPD
• Board of Regents of the University System of Georgia

  dba University Health Center, University of Georgia

  • Student Health Clinic/Center
  • Athens, GA
  • NPI 1811098817
  NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1184011678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025004",
            "telephone_number": "706-542-4598",
            "fax_number": "706-249-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARLTON STREET",
            "address_2": "593 ADERHOLD HALL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025004",
            "telephone_number": "706-542-4598",
            "fax_number": "706-249-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy Ste A410",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053761",
            "country_code": "US",
            "telephone_number": "770-225-1874",
            "fax_number": "678-254-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "SOMANG",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004267",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80566",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13693",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "9292723-4101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smoon291951@direct.vidanthealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Moye Blvd",
            "address_2": "3310 Health Sciences Building",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SO MANG",
            "last_name": "MOON",
            "credential": "AU.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Batul Zehra Momin
• Joyce Moniz, LPN
• Patricia C Monroe, OTL, CHT
• Victoria Joyce Moody, L.D., M.P.H.
• Brittany Spaid Moon, PT, DPT
• Bethany Toney Moore, DPT
• Carley Elizabeth Moore, LMSW
• Eva Katherine Moore, MD
• Isaac Benjamin Moore, RN
• James Lewis Moore, MD

• Audiologist in Athens, GA
• Providers in Athens, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.