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

Dr. Timothy W Moon, DO

Individual provider Family Medicine Physician · NPI 1215957832

Dr. Timothy W Moon, DO is a Family Practice in Anderson, South Carolina. Graduated from Michigan State University College of Osteopathic Medicine in 1996, 30 years ago. Practices with Centerwell Senior Primary Care SC PC, a 45-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
30
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

108 Highway 28 Byp
Anderson, SC 29624-3742
Phone: (864) 772-8173
Fax: (833) 996-1161
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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 40702 (SC)

Record details

NPI number1215957832
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice Centerwell Senior Primary Care Sc Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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