DR. JOHN TIMOTHY MOON MD
NPI 1033747761
Radiology - Vascular & Interventional Radiology in Atlanta, GA

Active since March 30, 2020PECOS Enrolled
49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 778-7777 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Mar 30, 2020 (2 updates tracked since 2020).

About Dr. John Timothy Moon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN TIMOTHY MOON MD (NPI 1033747761) is an individual vascular & interventional radiology provider in Atlanta, Georgia, licensed in Georgia (112548) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2020).

NPPES Registry Identity

NPI1033747761
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. JOHN TIMOTHY MOONCredential: MD
Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049 · (404) 778-7777
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1033747761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in GA · 112548
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
49 JESSE HILL JR DR SE, Atlanta, GA 30303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Timothy Moon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173082336
PECOS Enrollment IDI20260827003273
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pediatrics
49 JESSE HILL JR DR SE
ATLANTA, GA 30303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Moon's NPI number?

The NPI number for John Moon is 1033747761. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is John Moon located?

John Moon practices at 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 778-7777.

What is John Moon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is John Moon enrolled in Medicare?

Yes. John Moon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Moon reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Moon was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.