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

Mr. Carlos Julio Moreno

Individual provider Physician Assistant · NPI 1477615862

Mr. Carlos Julio Moreno is a Physician Assistant in Villa Rica, Georgia. Graduated from Miami Medical College in 2003, 23 years ago. Practices with Center for Allergy and Asthma of Georgia PC, an 11-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
23
Trained at
Miami Medical College
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

690 Dallas Hwy Ste 101
Villa Rica, GA 30180-1264
Phone: (770) 459-0620
Fax: (770) 456-7604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006320 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9102549 (FL)

Record details

NPI number1477615862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESDecember 19, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIAMI MEDICAL COLLEGE
Graduated 2003 (23 years in practice)
Group practice Center For Allergy And Asthma Of Georgia Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Villa Rica