P Praxis·MD
● Active Type 1 · Individual

Jung Joo Moon, M.D., M.M.S

General Practice·Atlanta, GA· NPI 1083078315 · Enumerated 2016 · 10 years on NPI
Moon is 1 of 119 general practice providers in Atlanta and 1 of 661 in Georgia.
NPI age
10 years
Enumerated 2016-04-12
Primary specialty
General Practice
Plus 3 subspecialties
Licensed in
GA, MN, WI, TX
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
4 states
Top 93% — 6% of peers are multi-state
Subspecialties
2
In the 35% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
2875 Lakewood Ave Sw # A5
Atlanta, GA 303155801
📞 7139040106fax 8622274081
Mailing address
2875 Lakewood Ave Sw Ste 1138
Atlanta, GA 303155801
📞 7139040106fax 8622274081

Additional practice locations

1 secondary location on file with NPPES.

Location 2
7703 Floyd Curl Dr, Mc 7750 Utsa Pathology
San Antonio, TX 782293901
📞 7139040106

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #90144WI license #76451 taxonomy 208D00000X
  • Pathology
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    MN license #70750 taxonomy 207ZP0102X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    TX license #646517 taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new general practice providers have been added in Atlanta in the last 180 days. See all →
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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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