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MR. GREGORY A MOON MA, NCC, LCAS, LPC
NPI 1871859603
Counselor - Addiction (Substance Use Disorder) in Cornelius, NC

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
19701 W CATAWBA AVE, SUITE F, CORNELIUS, NC 28031(704) 989-1031(704) 896-7819 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Gregory A Moon Ma, Ncc, Lcas, Lpc NPPES

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

MR. GREGORY A MOON MA, NCC, LCAS, LPC (NPI 1871859603) is an individual addiction (substance use disorder) provider in Cornelius, North Carolina, licensed in North Carolina (3337) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871859603
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GREGORY A MOONCredential: MA, NCC, LCAS, LPC
Location Address19701 W CATAWBA AVE, SUITE FCornelius, NC 28031-4080
Mailing Address19701 W Catawba Ave, Suite FCornelius, NC 28031-4080 · (704) 989-1031 · Fax (704) 896-7819
Phone(704) 989-1031
Fax(704) 896-7819
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2012
Last NPPES UpdateOctober 16, 2015
✔ NPI 1871859603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 3337
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8466 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8466 (NC)
19701 W CATAWBA AVE, Cornelius, NC 28031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory A Moon Ma, Ncc, Lcas, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880119585
PECOS Enrollment IDI20250415002655
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 Reassignment

Medicare enrollment records show Gregory Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
117 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

Other Providers at the Same Location NPPES

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

HALF MOON MEDICAL ASSOCIATES, PLLC
Counselor (Professional)
19701 W CATAWBA AVE, SUITE F
CORNELIUS, NC 28031
Mecklenburg County (704) 895-7819

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 Gregory Moon's NPI number?

The NPI number for Gregory Moon is 1871859603. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Gregory Moon located?

Gregory Moon practices at 19701 W Catawba Ave Suite F, Cornelius, NC 28031. The listed phone number is (704) 989-1031.

What is Gregory Moon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Gregory Moon enrolled in Medicare?

Yes. Gregory Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gregory Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Moon reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The 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 Gregory Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Moon accept?

Health plans from UnitedHealthcare list Gregory Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Moon was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.