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

Micaela Moen

Individual provider Surgery Physician · NPI 1760845168

Micaela Moen is a General Surgery in Atlanta, Georgia. Qualified in 2016, 10 years ago. Practices with Atlanta Breast Care, PC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
10
Licensed in
GA, MD
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

275 Collier Rd NW Ste 470
Atlanta, GA 30309-1711
Phone: (404) 351-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13001 E 17th Pl, Aurora, CO 80045-2570 — (303) 724-2680
  • 2000 Medical Pkwy, Annapolis, MD 21401-3742 — (443) 481-5300

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 96787 (GA)
Surgery Physician Taxonomy 208600000X · Licence D0094099 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760845168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address840 Frederica St Ne, Atlanta, GA 30306-4704

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Atlanta Breast Care, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Atlanta