NPIMap

Individual provider Active NPI

Julie Elizabeth Shelton Moon, D.O.

  • Interventional Cardiology Physician
  • Columbia, TN
National Provider Identifier
1649684622
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
6011 Issued in TN
Practice address
1222 Trotwood Ave Ste 211
Columbia, TN 38401-6405
Phone
(931) 777-2300
Fax
(931) 777-2301
NPI assigned
Jun 17, 2014
Last updated
Mar 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3619 KY
Cardiovascular Disease Physician 207RC0000X 88441 GA
Interventional Cardiology Physician 207RI0011X 6011 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 211
Columbia, TN 38401-6405

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210427002800 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022322023 Reassigns benefits to 2 organizations
I20250130001746 TN Practitioner - Interventional Cardiology 8022322023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
West Virginia School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1040 N James Campbell Blvd
Suite 101
Columbia, TN 38401
Phone (931) 388-8802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
72.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6011TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Practices LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Sec2 Interventional Cardiology CurrentSince Apr 20, 2021 Accepting new patients
St. Francis Physician Practices LLC Internal Medicine Current Accepting new patients
Southeastern Cardiology Associates PC Interventional Cardiology CurrentSince Jun 1, 2021 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jan 3, 2025 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jul 1, 2021 Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

2121 Warm Springs Rd
Columbus, GA 31904
Phone (706) 243-4500

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCCDCA
  • Direct secure messaging: julie.shelton.moon.1@7654.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1649684622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 211",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016405",
            "telephone_number": "931-777-2300",
            "fax_number": "931-777-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON MOON",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R3619",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "88441",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.