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JUSTIN MOON
NPI 1790628782
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 13, 2026
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 756-1368 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Moon NPPES

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

JUSTIN MOON (NPI 1790628782) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2026. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790628782
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN MOON
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address23203 Belted Kingfisher TrlSpring, TX 77389-1594 · (630) 843-1481
Phone(404) 756-1368
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1790628782 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.
720 WESTVIEW DR SW, Atlanta, GA 30310
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11670 Clairmont RdDecatur, GA 30033-4004 · Phone (404) 321-6111
Location 280 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 616-1000

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.

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Justin Moon's NPI number?

The NPI number for Justin Moon is 1790628782. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Justin Moon located?

Justin Moon practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 756-1368.

What is Justin Moon's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Moon was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.