STEPHANIE YUI MOON
NPI 1750945069
Family Medicine in Marietta, GA

Active since April 23, 2019
1640 POWERS FERRY RD SE, MARIETTA, GA 30067(770) 980-0000 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2022, Sep 7, 2021, Apr 23, 2019 (3 updates tracked since 2019).

About Stephanie Yui Moon NPPES

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

STEPHANIE YUI MOON (NPI 1750945069) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (10595) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1750945069
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE YUI MOON
Location Address1640 POWERS FERRY RD SEMarietta, GA 30067-5491
Mailing Address1640 Powers Ferry Rd Se Bldg 30-100Marietta, GA 30067-1440 · (770) 980-0000
Sole ProprietorYes
Enumeration DateApril 23, 2019
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
NPI 1750945069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 10595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1640 POWERS FERRY RD SE, Marietta, GA 30067

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Marriage & Family Therapist
1640 POWERS FERRY RD SE
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD SE
MARIETTA, GA 30067
Psychologist
1640 POWERS FERRY RD SE, BUILDING 9, SUITE 100
MARIETTA, GA 30067
Marriage & Family Therapist
1640 POWERS FERRY RD SE, BUILDING 16, SUITE 100
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD SE, BLDG 7, SUITE 300
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD SE, BLDG 16, SUITE 100
MARIETTA, GA 30067
Counselor (Mental Health)
1640 POWERS FERRY RD SE, BLD: 5 STE: 110
MARIETTA, GA 30067
Social Worker (Clinical)
1640 POWERS FERRY RD SE, BUILDING 19 SUITE 200
MARIETTA, GA 30067

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 Stephanie Moon's NPI number?

The NPI number for Stephanie Moon is 1750945069. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Stephanie Moon located?

Stephanie Moon practices at 1640 Powers Ferry Rd SE, Marietta, GA 30067. The listed phone number is (770) 980-0000.

What is Stephanie Moon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Moon was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.