Active NPI
Karen Moon, DPM
- Podiatrist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD001356
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (404) 501-2499
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD001356 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
2701 N Decatur Rd
Decatur, GA 30033-5918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 Henderson St
Columbia, SC 29201-2600
Phone (843) 792-1414
508 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 270-0659
5405 Okeechobee Blvd
Suite 303
West Palm Beach, FL 33417-4554
Phone (561) 293-3439
975 Town Ctr Dr
Suite 200
Orange City, FL 32763-8269
Phone (386) 775-2281
Hospital & facility affiliations
- Musc Health Columbia Medical Center Downtown
- Musc Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 44 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 673 |
| Removal or shaving of skin growth | 212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687 | SC | MD | Pediatric Dentist |
| POD001356 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Podiatrist | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Podiatrist | Current | Accepting new patients |
| Integrative Foot and Ankle LLC | Podiatrist | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Musc Community Physicians | Podiatrist | Current | Accepting new patients |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336
819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234
508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659
975 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 465-4104
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
595 W Granada Blvd
Ste F
Ormond Beach, FL 32174
Phone (386) 673-2266
21 Hospital Dr
Ste 170
Palm Coast, FL 32164
Phone (386) 586-2280
11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509
790 Dunlawton Ave
Ste C
Port Orange, FL 32127
Phone (386) 788-6333
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
5405 Okeechobee Blvd
Ste 303
West Palm Beach, FL 33417
Phone (561) 293-3439
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1730 Henderson St
Columbia, SC 29201
Phone (803) 736-2600
1730 Henderson St
Ste B
Columbia, SC 29201
Phone (803) 376-1717
102 Woodmont Blvd
Ste 450
Nashville, TN 37205
Interoperability endpoints
- karen.moon.1@4399.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Podiatrist
- West Palm Beach, FL
- NPI 1386910305
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1417458357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "KAREN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.