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

Individual provider Internal Medicine Physician · NPI 1417913526

Dr. Leah Nicole Moon, MD is an Internal Medicine in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 1999, 27 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
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

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365
Phone: (423) 857-2793
Fax: (423) 578-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD37074 (TN)

Record details

NPI number1417913526
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESMay 7, 2014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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