LAURA MOON


Address: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176
Phone: 7063892273

LAURA MOON (NPI# 1265906226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265906226
Entity Type Individual
Full Name LAURA MOON
Credential AGACNP
Practice Address 1021 Jamestown Blvd Ste 215
Watkinsville
GA 30677-4176
Mailing Address Po Box 48089
Athens
GA 30604-8089
Practice Telephone 7063892273
Practice Fax Number 7063892298
Mailing Telephone 7063893740
Mailing Fax Number 7063893951
Enumeration Date 2019-01-14
Last Update Date 2019-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
144320 GA Physician Assistants & Advanced Practice Nursing Providers

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1396091880 Laura Moon Counselor 7301 Broadway Ext, Oklahoma City, OK 73116-9045 2012-08-02
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Office Location

Street Address 1021 JAMESTOWN BLVD STE 215
City WATKINSVILLE
State GA
Zip Code 30677-4176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841299187 St. Mary's Health Care System Inc Home Health 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2005-07-19
1740817253 Frances Hughes Nurse Practitioner 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2020-03-25
1689215709 Amanda Lou Newton Social Worker 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2019-09-30
1053885871 Sheryl Newberry Nurse Practitioner 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2019-01-15
1932672300 St. Mary's Medical Group, Inc. Internal Medicine 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2019-01-08
1063752012 Barbara Lynn Pruitt Nurse Practitioner 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 2013-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669071478 Brenda Gerai James Behavior Technician 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 2020-10-22
1881292597 Chloe Wise Specialist/Technologist 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 2020-10-14
1912518531 Samuel S Kwon - Athens Dmd PC Dentist 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 2020-08-17
1972131977 Hopebridge LLC Behavioral Analyst 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 2020-03-27
1306479068 Meggan Brittany Reed Counselor 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 2020-02-20
1699322040 Christopher's Bridge, LLC In Home Supportive Care 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 2019-08-21
1093209538 Haley Bauguss Physician Assistant 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 2018-06-19
1134618317 Amanda Burns Denson Nurse Practitioner 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 2018-05-03
1780105528 Inspiring Hospice Partners of Georgia LLC Hospice Care, Community Based 1252 Virgil Langford Rd, Watkinsville, GA 30677 2017-07-01
1750753182 Zachary Russell Orthopaedic Surgery 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 2015-10-26
Find all providers in zip 30677

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053885871 Sheryl Newberry Nurse Practitioner 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2019-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154110 Christina Danielle Palau Vaccari Nurse Practitioner 712 Pasley Ave Se, Atlanta, GA 30316-2158 2020-11-07
1427657113 Cynthia Diane Prather Nurse Practitioner 3264 Lower Boston Rd, Thomasville, GA 31757-1311 2020-10-22
1932706728 Alecia Ann Czarnecki Nurse Practitioner 6240 Crooked Creek Dr, Rex, GA 30273-5006 2020-10-05
1801401112 Cotenna D. Clark Nurse Practitioner 1857 Cameo Ct, Tucker, GA 30084-7002 2020-09-14
1487264370 Helen Young Yates Nurse Practitioner 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 2020-08-05
1982214334 Jasmine Alecia Henderson Nurse Practitioner 52 Roseberry Cir, Port Wentworth, GA 31407-5612 2020-07-31
1275142994 Theresia Richardson Nurse Practitioner 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 2020-07-28
1063021277 Elsa Duncan Duncan Nurse Practitioner 1822 E Gwinnett St, Savannah, GA 31404-1853 2020-07-24
1154941946 Joy P Wharton Nurse Practitioner 182 Silver Arrow Cir, Austell, GA 30168-7490 2020-04-21
1235769985 Michelle Brack Nurse Practitioner 502 Hall Rd, Thomasville, GA 31757-8105 2020-01-22
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Competitor

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City WATKINSVILLE
Zip Code 30677

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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