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

Jeffrey Lang Moulton, PA-C

Individual provider Physician Assistant · NPI 1518009612

Jeffrey Lang Moulton, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2012, 14 years ago. Practices with Georgia Dermatology and Skin Cancer Center, LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
14
Licensed in
FL, GA
In the registry since
2007
Specialties on file
4
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

4200 N Armenia Ave Ste 1-2
Tampa, FL 33607-6438
Phone: (813) 877-4811
Fax: (813) 872-8978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110559 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 3652 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3652 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3652 (GA)

Record details

NPI number1518009612
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Georgia Dermatology And Skin Cancer Center, Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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