Individual provider Active NPI

Karen Moon, DPM

  • Podiatrist
  • Decatur, GA
National Provider Identifier
1417458357
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001356 Issued in GA
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

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190930002597 SC Practitioner - Podiatry 0547590838 Reassigns benefits to 1 organization
I20210217000699 FL Practitioner - Podiatry 0547590838 Reassigns benefits to 3 organizations

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
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians
Integrative Foot and Ankle LLCGroup PAC ID 5496902611, 15 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

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 Hospital, Columbia, SC, CCN 420026
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue673
Removal or shaving of skin growth212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
687SCMDPediatric Dentist
POD001356GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Feb 8, 2026 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 1, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Mar 1, 2021 Accepting new patients
Integrative Foot and Ankle LLC Podiatrist CurrentSince Oct 30, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Musc Community Physicians Podiatrist CurrentSince Feb 8, 2026 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties PastSince May 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.