Moon Lake Emergency Physicians LLC
NPI 1831561455 · Emergency Medicine Physician · Phenix City, AL
Moon Lake Emergency Physicians LLC is a Emergency Medicine Physician organization in Phenix City, AL (NPI 1831561455).
Provider details
- NPI number
- 1831561455
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Kondas, Officer(954) 838-2371
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-22
- Last updated
- 2019-09-10
Frequently asked questions
- What is Moon Lake Emergency Physicians LLC's NPI number?
- Moon Lake Emergency Physicians LLC's National Provider Identifier (NPI) is 1831561455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moon Lake Emergency Physicians LLC?
- Moon Lake Emergency Physicians LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Moon Lake Emergency Physicians LLC located?
- Moon Lake Emergency Physicians LLC's practice location on file with NPPES is 4401 River Chase Dr, Phenix City, AL 36867-7483.
- What is Moon Lake Emergency Physicians LLC's phone number?
- The practice phone number listed in the NPPES registry for Moon Lake Emergency Physicians LLC is (469) 401-2386.
- Who is the authorized official for Moon Lake Emergency Physicians LLC?
- The authorized official listed on Moon Lake Emergency Physicians LLC's NPPES record is Kathleen Kondas, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moon Lake Emergency Physicians LLC's NPI active?
- Yes — Moon Lake Emergency Physicians LLC's NPI (1831561455) is active in the NPPES registry as of the last update on 2019-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.