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ANGELA MOON DPM
NPI 1801591540
Podiatrist in Duluth, GA

Active since April 03, 2023PECOS Enrolled
3655 HOWELL FERRY RD STE 100, DULUTH, GA 30096(770) 497-8283(404) 481-4433 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Angela Moon Dpm NPPES

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

ANGELA MOON DPM (NPI 1801591540) is an individual podiatrist in Duluth, Georgia, licensed in Georgia (POD305032) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1801591540
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameANGELA MOONCredential: DPM
Location Address3655 HOWELL FERRY RD STE 100Duluth, GA 30096-3186
Mailing Address4101 Charlotte Ave Ste F185Nashville, TN 37209-4066
Phone(770) 497-8283
Fax(404) 481-4433
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1801591540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · POD305032
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License POD305032 (GA)
3655 HOWELL FERRY RD STE 100, Duluth, GA 30096
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3971069550
PECOS Enrollment IDI20260804000430
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 Angela Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Village Podiatry Group, L.L.C.
9.9 mi
Podiatrist
1350 UPPER HEMBREE RD STE 100
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Village Podiatry Group LLC
  • 69 clinicians in this Medicare group
NPI 1508846718 (678) 426-2171
Village Podiatry Group II, LLC.
18 mi
Foot & Ankle Surgery
2045 PEACHTREE ROAD NE, SUITE 810
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1427540699 (404) 446-1890

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 30096 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

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

ARIA MANSOORI DPM
Podiatrist (Foot & Ankle Surgery)
3655 HOWELL FERRY RD STE 100
DULUTH, GA 30096
Gwinnett County (770) 497-8283

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 Angela Moon's NPI number?

The NPI number for Angela Moon is 1801591540. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Angela Moon located?

Angela Moon practices at 3655 Howell Ferry Rd Ste 100, Duluth, GA 30096. The listed phone number is (770) 497-8283.

What is Angela Moon's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Angela Moon enrolled in Medicare?

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

Which organizations bill Medicare for Angela Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Moon reassigns Medicare benefits to 2 organizations: Village Podiatry Group, L.L.C. (Roswell, GA) and Village Podiatry Group II, LLC. (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 Angela 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 Angela Moon was last updated on July 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.