Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maldonado & Moreno, PC

Organization Family Medicine Physician · NPI 1699815340

Maldonado & Moreno, PC is a Family Medicine Physician in Jackson, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

375 McDonough Rd
Jackson, GA 30233-1509
Phone: (770) 775-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 046792 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 022255 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence OT002221 (GA)

Record details

NPI number1699815340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Washington — Billing · (770) 775-4622
NPI enumeratedFebruary 8, 2007
Last updated in NPPESApril 10, 2015
Mailing address375 McDonough Rd, Jackson, GA 30233-1509

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