P Praxis·MD
● 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
No
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
1
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

  • 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

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

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