Individual provider Active NPI

Thomas J Moon Jr., M.D.

  • Pediatric Cardiology Physician
  • Gainesville, FL
National Provider Identifier
1982821799
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME113107 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 627-9350
Fax
(352) 273-9054
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME113107 FL Primary
Pediatrics Physician 208000000X ME113107 FL
Pediatric Cardiology Physician 2080P0202X DR47006 CO

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 746645
Atlanta, GA 30374-6645
Phone (904) 202-2092

Other practice location 1

3025 Shrine Rd Ste 350
Brunswick, GA 31520-4786
Phone (904) 202-8550

Other practice location 2

841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Phone (904) 202-8550

Other practice location 3

1747 Baptist Clay Dr Ste 100
Fleming Island, FL 32003-8503
Phone (904) 202-8550

Other identifiers 3

IdentifierTypeStateIssuer
005915000MedicaidFL
14KY8OtherFLBCBS
003125542AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000200 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3476719899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

1443 San Marco Blvd
Jacksonville, FL 32207-8535
Phone (904) 633-4110

841 Prudential Dr
Suite 100
Jacksonville, FL 32207-8346
Phone (904) 633-4110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR47006COMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Specialty Physicians Inc Pediatric Cardiology CurrentSince Oct 13, 2024 Accepting new patients
Baptist Specialty Physicians Inc Pediatric Cardiology CurrentSince Jun 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Sep 23, 2025 Accepting new patients

Locations

1219 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 255-4568

1747 Baptist Clay Dr
Ste 100
Fleming Island, FL 32003
Phone (904) 202-8550

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290

836 Prudential Dr
Ste 802
Jacksonville, FL 32207
Phone (904) 202-8290

841 Prudential Dr
Ste 100
Jacksonville, FL 32207
Phone (904) 633-4110

3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221

1747 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 202-8550

2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861

3025 Shrine Rd
Ste 350
Brunswick, GA 31520
Phone (904) 202-8550

Interoperability endpoints

  • Direct secure messaging: tmoon73077@direct.shands.ufl.edu

Organizations & group practices 5

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1982821799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746645",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746645",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-627-9350",
            "fax_number": "352-273-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Shrine Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204786",
            "country_code": "US",
            "telephone_number": "904-202-8550",
            "fax_number": "904-393-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078350",
            "country_code": "US",
            "telephone_number": "904-202-8550",
            "fax_number": "904-393-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Baptist Clay Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320038503",
            "country_code": "US",
            "telephone_number": "904-202-8550",
            "fax_number": "904-393-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME113107",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME113107",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CO",
            "license": "DR47006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005915000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14KY8",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125542A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.