P Praxis·MD
● Active Type 1 · Individual

Davis Sungwhan Moon, MD

Surgery·Savannah, GA· NPI 1043455306 · Enumerated 2008 · 17 years on NPI
Moon is 1 of 14 surgery providers in Savannah and 1 of 268 in Georgia.
NPI age
17 years
Enumerated 2008-12-15
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Practice location
4750 Waters Ave Ste 500
Savannah, GA 314046261
📞 9123528346fax 9123555515
Mailing address
4750 Waters Ave Ste 500
Savannah, GA 314046261
📞 9123528346

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
613 Towne Park Dr W Ste 204
Rincon, GA 313265183
📞 9128266771fax 9122955605
Location 3
3 Richland Medical Park Dr
Columbia, SC 292036849
📞 8034347100fax 8034346889

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #74207SC license #84913 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (GA) 003223457H
05 (GA) 003223457A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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