● Active Type 1 · Individual

Micaela Moen

Surgery·Atlanta, GA· NPI 1760845168 · Enumerated 2016 · 10 years on NPI

Moen is 1 of 232 surgery providers in Atlanta and 1 of 1389 in Georgia.

NPI age

10 years

Enumerated 2016-04-01

Primary specialty

Surgery

Plus 2 subspecialties

Licensed in

GA, MD

2 states

Status

Active

No deactivations on record

Last NPPES update

2023-10-18

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age

10 years

↓ 7 yr below median (17 yr)

State licenses

2 states

Top 85% — 14% of peers are multi-state

Subspecialties

In the 28% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES

2016 2026

Where they practice

Practice location

275 Collier Rd Nw Ste 470

Atlanta, GA 303091711

📞 4043511002

Mailing address

840 Frederica St Ne

Atlanta, GA 303064704

📞 2146364705

Additional practice locations

2 secondary locations on file with NPPES.

Location 2

13001 E 17th Pl

Aurora, CO 800452570

📞 3037242680

Location 3

2000 Medical Pkwy

Annapolis, MD 214013742

📞 4434815300

Specialties

Allopathic & Osteopathic Physicians › Surgery

Surgery Primary

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...

GA license #96787MD license #D0094099 taxonomy 208600000X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new surgery provider has been added in Atlanta in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.