Henry S Moon (NPI# 1780646083, PAC ID# 6709801194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780646083 |
| PAC ID by PECOS | 6709801194 |
| Professional Enrollment ID | I20051014000278 |
| Full Name | Henry S Moon |
| Organization Legal Name | GWINNETT PHYSICIAN GROUP,LLC |
| Address |
2069 Teron Trce Suite 100 Dacula GA 30019-1665 |
| Phone Number | 6787301620 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9133211139 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 | 6787301620 | GWINNETT PHYSICIAN GROUP,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 82% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 82% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 25% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 25% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 83% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 83% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 3% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 3% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 2% | |
| MIPS_EC_400_overall | One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 2% |
| Organization Legal Name | GWINNETT PHYSICIAN GROUP,LLC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna Hannigan Glessner | Family Medicine | Gwinnett Physician Group,llc | 1120 Peachtree Industrial Blvd, Suite 208, Suwanee, GA 30024-2013 |
| Julie D Gunby | Certified Nurse Midwife (cnm) | Gwinnett Physician Group,llc | 550 Medical Ctr Blvd, Lawrenceville, GA 30046-7688 |
| Rekha J Desai | Internal Medicine | Gwinnett Physician Group,llc | 2850 Hog Mountain Rd, Suite 101, Dacula, GA 30019-5935 |
| Arati Joshi | Internal Medicine | Gwinnett Physician Group,llc | 601 Old Norcross Rd, Suite A, Lawrenceville, GA 30046-4311 |
| Sangita A Sharma | Family Medicine | Gwinnett Physician Group,llc | 2835 Centerville Hwy, Bldg 1, Snellville, GA 30078-4503 |
| Valeria F Boazman | Obstetrics/gynecology | Gwinnett Physician Group,llc | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 |
| Rashmi A Kulkarni | Family Medicine | Gwinnett Physician Group,llc | 2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 |
| Amsel M Siore | Pulmonary Disease | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Michael J Pickford | Otolaryngology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Erica B Jin | Obstetrics/gynecology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Street Address |
2069 TERON TRCE SUITE 100 |
| City | DACULA |
| State | GA |
| Zip | 30019-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rashmi A Kulkarni | Family Medicine | Gwinnett Physician Group,llc | 2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 |
| Richard C Aronoff | Podiatry | Village Podiatry Group, LLC. | 2069 Teron Trce, Suite 300, Dacula, GA 30019-1665 |
| Rene Latoni | Family Medicine | Gwinnett Physician Group,llc | 2069 Teron Trce, Suite 100, Dacula, GA 30019-1665 |
| John M Buchanan | Family Medicine | Choa Hospital Based, LLC | 2069 Teron Trce, Suite 200, Dacula, GA 30019-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Richardson | Nurse Practitioner | Atlanta Allergy and Asthma, Pa | 2089 Teron Trace, Suite 250, Dacula, GA 30019 |
| Cheryl M Hughes | Clinical Social Worker | 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 | |
| Shirley A Boone-sanford | Psychologist, Clinical | 2078 Teron Trace, Suite 250, Dacula, GA 30019 | |
| Bhairavi Dholakia | Ophthalmology | North Georgia Eye Clinic Inc | 2089 Teron Trace, Suite 160, Dacula, GA 30019 |
| Yadira Nmi Cardona Rohena | Maxillofacial Surgery | 2089 Teron Trace, Suite 215, Dacula, GA 30019 | |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Aishah Boodram | Clinical Social Worker | 3581 Braselton Hwy, Dacula, GA 30019-1027 | |
| Russell Glassman | Chiropractic | Hamilton Mill Family Chiropractic | 3509 Braselton Hwy, Dacula, GA 30019-1027 |
| Elvira Jasarevic | Family Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Jay H Joseph | Cardiovascular Disease (cardiology) | Heart Center LLC | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Find all physicians in zip 30019 | |||
| City | DACULA |
| Zip Code | 30019 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DACULA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Henry S Moon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.