Andrea Moon

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN124107 Issued in GA

Practice address

107 Fahm St
B
Savannah, GA 31401-2391

Phone

(912) 651-2253

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chatham County Board of HealthGroup PAC ID 1658367727, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chatham County Board of Health

  • Public Health or Welfare Agency
  • Savannah, GA
  • NPI 1164503124
  Medicare reassignment Care Compare group NPD
• Glynn County Board of Health

  • Public Health or Welfare Agency
  • Brunswick, GA
  • NPI 1164429692
  Medicare reassignment NPD
• Liberty County Board of Health

  • Public Health or Welfare Agency
  • Hinesville, GA
  • NPI 1245546704
  Medicare reassignment NPD
• Chatham County Board of Health

  • Public Health or Welfare Agency
  • Savannah, GA
  • NPI 1275618407
  NPD

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1902209141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FAHM ST",
            "address_2": "B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012391",
            "telephone_number": "912-651-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FAHM ST",
            "address_2": "B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012391",
            "telephone_number": "912-651-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN124107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Monzon
• Mandy Moody
• Rodney L Moody, MD
• Ryan Brett Moody, M.D
• Moon River Counseling LLC
• Charlene H. Moon, NP
• Davis Sungwhan Moon, MD
• Jin Moon
• Aigner Moore, MD
• Amani Moore, RBT

• Registered Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.

Verify at the official NPI Registry.