Individual provider Active NPI

Luke Moja, DC

  • Chiropractor
  • Yulee, FL
National Provider Identifier
1730833708
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14989 Issued in FL
Practice address
175 Daydream Ave Apt 6309
Yulee, FL 32097-5479
Phone
(719) 640-7920
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14989 FL Primary

Addresses

Primary practice location

175 Daydream Ave Apt 6309
Yulee, FL 32097-5479

Mailing address

175 Daydream Ave Apt 6309
Yulee, FL 32097-5479
Phone (719) 640-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220221000127 GA Practitioner - Chiropractic 9234523119 Reassigns benefits to 2 organizations
I20241001004281 FL Practitioner - Chiropractic 9234523119 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14989FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
8 Flags Chiropractic Chiropractor CurrentSince Sep 10, 2024 Accepting new patients
South Georgia Chiropractic Chiropractor CurrentSince Apr 5, 2023 Accepting new patients
Moja Functional Health, LLC CurrentSince May 30, 2025 Accepting new patients
Tri-County Clinic of Chiropractic, LLC CurrentSince Feb 16, 2022 Accepting new patients

Locations

5422 First Coast Hwy
Ste 118
Amelia Island, FL 32034
Phone (904) 775-8949

1416 Park Ave
Ste 102
Fernandina Beach, FL 32034

2950 Halcyon Ln
Ste 205
Jacksonville, FL 32223
Phone (904) 694-3696

362 S Main St
Ste A
Baxley, GA 31513
Phone (912) 538-0708

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1730833708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DAYDREAM AVE APT 6309",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975479",
            "telephone_number": "719-640-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DAYDREAM AVE APT 6309",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975479",
            "telephone_number": "719-640-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJA",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.