Somang Moon, AUD
NPI 1184011678ActiveIndividual· Audiologist· Athens, GA
Audiologist (AUD) with Northside Surgical Professional Services LLC and 1 other group, practicing in Athens, Georgia. Medicare paid $5,169 for services to 73 patients in 2024.
Overview
| NPI | 1184011678 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Apr 22, 2015 |
| Last updated in NPPES | Jan 9, 2026 |
| Certified by provider | Jan 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 13693 | NC |
| Audiologist | 231H00000X | AUD004267 | GA |
| Audiologist | 231H00000X | 80566 | TX |
| Audiologist | 231H00000X | 9292723-4101 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 132 across 5 procedure codes |
| Paid by Medicare | $5,169 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical groups
- Northside Surgical Professional Services LLCAtlanta, GA · 364 clinicians
- Board of Regents of the University System of GeorgiaAthens, GA · 9 clinicians
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