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

Tara Moon, MD

Individual provider Pediatrics Physician · NPI 1336403211

Tara Moon, MD is a Pediatrics Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1410 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 978-2379
Fax: (704) 978-2380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2015-01302 (NC)

Record details

NPI number1336403211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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