Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Devi Dove Moon

Individual provider Family Nurse Practitioner · NPI 1407469638

Devi Dove Moon is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2020, 6 years ago. Practices with Dutch Medical Clinics, Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

56 Dutch Ln
Columbus, MS 39702-5500
Phone: (662) 329-3808
Fax: (662) 329-3873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904108 (MS)

Record details

NPI number1407469638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2020
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address56 Dutch Ln, Columbus, MS 39702-5500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dutch Medical Clinics, Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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