Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Elaine Moon, PA-C

Individual provider Medical Physician Assistant · NPI 1912304015

Crystal Elaine Moon, PA-C is a Physician Assistant in Chattanooga, Tennessee. Qualified in 2014, 12 years ago. Practices with Orthosports1St Ga, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

961 Spring Creek Rd Ste 300
Chattanooga, TN 37412
Phone: (423) 893-9787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 645 Paul Huff Parkway Nw, Cleveland, TN 37312 — (423) 790-4420

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2666 (TN)

Record details

NPI number1912304015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESJune 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Orthosports1st Ga — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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