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

Soon Moon, DO

Individual provider Surgery Physician · NPI 1902367188

Soon Moon, DO is a General Surgery in Kingsport, Tennessee. Qualified in 2019, 7 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841
Phone: (423) 245-6101
Fax: (423) 245-2396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20000 Harvard Road, Warrensville Heights, OH 44122 — (216) 491-6000
  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 — (423) 398-7020

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 6474 (TN)

Record details

NPI number1902367188
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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