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

Amy Moan, PA

Individual provider Physician Assistant · NPI 1164434494

Amy Moan, PA is a Physician Assistant in St Petersburg, Florida. Qualified in 2001, 25 years ago. Practices with Tampa General Medical Group Inc, a 352-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 7th St S Ste 510
St Petersburg, FL 33701-4736
Phone: (727) 828-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9101907 (FL)

Record details

NPI number1164434494
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESJune 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Tampa General Medical Group Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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