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

Mrs. Merrie Tanya Moon, PA

Individual provider Medical Physician Assistant · NPI 1568755692

Mrs. Merrie Tanya Moon, PA is a Medical Physician Assistant in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1810 White Cir Ste 155
Marietta, GA 30066-5835
Phone: (877) 613-1990
Fax: (877) 613-1990
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5794 (GA)

Record details

NPI number1568755692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2011
Last updated in NPPESMay 23, 2011

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