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ANDREA MOON
NPI 1902209141
Registered Nurse in Savannah, GA

Active since October 02, 2014PECOS EnrolledAccepts Medicare Assignment
107 FAHM ST, B, SAVANNAH, GA 31401(912) 651-2253 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Moon NPPES

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

ANDREA MOON (NPI 1902209141) is an individual registered nurse in Savannah, Georgia, licensed in Georgia (RN124107) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902209141
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameANDREA MOON
Location Address107 FAHM ST, BSavannah, GA 31401-2391
Mailing Address107 Fahm St, BSavannah, GA 31401-2391 · (912) 651-2253
Phone(912) 651-2253
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 2, 2014
✔ NPI 1902209141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in GA · RN124107
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
107 FAHM ST, Savannah, GA 31401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Moon 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 ID941671911
PECOS Enrollment IDI20230130002688
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 5

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

SHIRLEY WILLIAMS LPN
Licensed Practical Nurse
107 FAHM ST, B
SAVANNAH, GA 31401
Chatham County (912) 651-2253
MELISSA ANN KEMPINSKI
Counselor (Professional)
107 FAHM ST
SAVANNAH, GA 31401
Chatham County (912) 238-2777
LISA WOODARD MARTIN
Dental Hygienist
107 FAHM ST
SAVANNAH, GA 31401
Chatham County (912) 495-8887
CAROLYN MAYNOR
Licensed Practical Nurse
107 FAHM ST, B
SAVANNAH, GA 31401
Chatham County (912) 651-2253
DANIELLE SWINDELL
Licensed Practical Nurse
107 FAHM ST, B
SAVANNAH, GA 31401
Chatham County (912) 651-2253

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 Andrea Moon's NPI number?

The NPI number for Andrea Moon is 1902209141. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Andrea Moon located?

Andrea Moon practices at 107 Fahm St B, Savannah, GA 31401. The listed phone number is (912) 651-2253.

What is Andrea Moon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Andrea Moon enrolled in Medicare?

Yes. Andrea 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.

What insurance does Andrea Moon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Andrea 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 Andrea Moon was last updated on October 2, 2014. 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.