Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083078315 Individual Practitioner Female Practitioner

Dr. Jung Joo Moon , MD, MMS

General Practice • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jung Moon, MD, MMS is a registered healthcare professional specializing in General Practice in Atlanta, GA. Practice services are available at 2875 LAKEWOOD AVE SW # A5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2875 Lakewood Ave Sw # A5

Atlanta, GA 303155801

Telephone 7139040106
Fax 8622274081

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
46 Specialists

Practicing in Atlanta, GA (369 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 90144

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX 646517

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.

Pathology - Anatomic Pathology & Clinical Pathology

NUCC Taxonomy Code: 207ZP0102X

State License MN 70750

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 information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

General Practice

NUCC Taxonomy Code: 208D00000X

State License WI 76451

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Student in an Organized Health Care Education/Training Program (License #646517 in TX)

📍
Updated Practice Location April 23, 2025

Registered at 2875 LAKEWOOD AVE SW # A5, ATLANTA, GA 303155801 (Tel: 7139040106)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2025

Pathology (License #70750 in MN)

📍
Updated Business Mailing Address April 07, 2025

Registered at 2875 LAKEWOOD AVE SW STE 1138, ATLANTA, GA 303155801 (Tel: 7139040106)

👤
Provider Name / Credentials Updated April 07, 2025

Recorded as JUNG MOON, M.D., M.M.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2025

General Practice (License #76451 in WI)

NPI Profile Active April 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2016

Registered at 7703 FLOYD CURL DR, MC 7750 UTSA PATHOLOGY, SAN ANTONIO, TX 782293901 (Tel: 7139040106)

📍
Updated Business Mailing Address April 12, 2016

Registered at 4718 COLDSTREAM CT, SUGAR LAND, TX 774793546 (Tel: 7139040106)

👤
Provider Name / Credentials Updated April 12, 2016

Recorded as JUNG JOO MOON, M.D., M.M.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2016

Student in an Organized Health Care Education/Training Program (License #646517 in TX)

🟢
Initial NPI Registration & Enumeration April 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083078315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2016
Last Update: June 16, 2026
Sole Proprietor: No

Mailing Address

2875 Lakewood Ave Sw Ste 1138

Atlanta, GA 303155801

Phone: 7139040106

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.