P Praxis·MD
● Active Type 1 · Individual

MR. Matthew Eugene Moon, FNP

Nurse Practitioner·Canton, GA· NPI 1861929929 · Enumerated 2017 · 9 years on NPI
Moon is 1 of 10 nurse practitioner providers in Canton and 1 of 950 in Georgia.
NPI age
9 years
Enumerated 2017-05-18
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
450 Northside Cherokee Blvd
Canton, GA 301158015
📞 7702241000
Mailing address
7 Trotters Ln Nw
Rome, GA 301652677
📞 7067661944

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN222612 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #RN222612 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 128 other active providers share this practice address in NPPES.

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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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