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JAEWON MOON
NPI 1114745858
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since October 01, 2024PECOS Enrolled
77 VILCOM CENTER DR STE 300, CHAPEL HILL, NC 27514(984) 974-5217(984) 974-3778 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Oct 1, 2024 (2 updates tracked since 2024).

About Jaewon Moon NPPES

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

JAEWON MOON (NPI 1114745858) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114745858
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAEWON MOON
Location Address77 VILCOM CENTER DR STE 300Chapel Hill, NC 27514-1875
Mailing AddressDepartment Of Psychiatry, Campus Box 7160Chapel Hill, NC 27599-7160
Phone(984) 974-5217
Fax(984) 974-3778
Sole ProprietorNo
Enumeration DateOctober 1, 2024
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1114745858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
77 VILCOM CENTER DR STE 300, Chapel Hill, NC 27514
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaewon Moon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LAURA MARIE SHERIDAN
Psychiatry & Neurology (Psychiatry)
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-6217
DR. KELLY LEWIS HAMILTON DO
Psychiatry & Neurology (Psychiatry)
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-9646
LOUISA MARIJANE SMITHERMAN MD
Student in an Organized Health Care Education/Training Program
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217
DR. DANIELLE ROUBINOV PHD
Psychologist
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217
DR. ALEX KERBEL GERTNER
Psychiatry & Neurology (Psychiatry)
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217
DR. PAUL JEFFERSON GEIGER PHD
Psychologist
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217
TAYLOR JACOB KLEYN
Psychiatry & Neurology (Psychiatry)
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217
NATALYA BROOKS MD/PHD
Psychiatry & Neurology (Psychiatry)
77 VILCOM CENTER DR STE 300
CHAPEL HILL, NC 27514
Orange County (984) 974-5217

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 Jaewon Moon's NPI number?

The NPI number for Jaewon Moon is 1114745858. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Jaewon Moon located?

Jaewon Moon practices at 77 Vilcom Center Dr Ste 300, Chapel Hill, NC 27514. The listed phone number is (984) 974-5217.

What is Jaewon Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaewon Moon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jaewon Moon was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.