Christopher Michael Moon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6214 Issued in GA

Practice address

630 13TH St Ste 250
Augusta, GA 30901-1017

Phone

(706) 724-2500

Fax

(706) 731-5289

NPI assigned

Aug 11, 2011

Sex

Male

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

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Radiology Associates, IIGroup PAC ID 1456345651, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Augusta, GA, CCN 110177

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Vascular Radiology Associates, II

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
  • NPI 1346357217
  Medicare reassignment Care Compare group
• Fresenius Vascular Care Augusta, LLC

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
  • NPI 1134412331
  Medicare reassignment

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

• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1912286774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418427",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418427",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST STE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011017",
            "telephone_number": "706-724-2500",
            "fax_number": "706-731-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 J Dewey Gray Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096511",
            "country_code": "US",
            "telephone_number": "706-854-9932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel David Montes
• Stephen William Montgomery, MMT, MT-BC
• Alecia Moody, RN
• Antoneal Moody, MS ST
• Gina Pamela Moody
• June Young Moon, MD
• Kamarin Moon, DMD
• Kellie Jiwon Moon, MD
• Katarzyna Konopka Mooney, DPT
• Ryan Patrick Mooneyham, DDS

• Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.