NPI age
12 years
Enumerated 2013-11-05
● Active Type 2 · Organization
Moon River, Llc
Moon River, Llc is 1 of 126 early intervention provider agency organizations in Georgia.
Primary specialty
Early Intervention Provider Agency
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
President
Last NPPES update
2013-11-05
Source: monthly bulk 2026-05
How this organization compares
Across 126 active early intervention provider agency providers in Georgia.
NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2000 First Dr, Suite 340
Marietta, GA 300627739
Mailing address
790 Oak Trail Dr
Marietta, GA 300627502
Authorized official
Maria Teresa Smith, PT
President
📞 7709776866
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ashanta Posey Speech-Language Pathologist NPI 1093983652
Specialties
-
Early Intervention Provider Agency PrimaryEarly intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 223654765A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.