Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David W Moon, MD

Individual provider Family Medicine Physician · NPI 1417053133

Dr. David W Moon, MD is a Family Practice in Lake City, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1979, 47 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
47
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

276 N Ron McNair Blvd
Lake City, SC 29560-2462
Phone: (843) 394-5471
Fax: (843) 394-5459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9839 (SC)

Record details

NPI number1417053133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMay 15, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake City