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

Kellie Jiwon Moon, MD

Individual provider Anesthesiology Physician · NPI 1376229054

Kellie Jiwon Moon, MD is an Anesthesiology Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
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

1120 15th St # BI-2183
Augusta, GA 30912-0004
Phone: (706) 721-0180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 15209 (GA)

Record details

NPI number1376229054
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address1120 15th St # Bi-2183, Augusta, GA 30912-0004

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