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

Natasha Mora

Individual provider Surgical Physician Assistant · NPI 1114743655

Natasha Mora is a Physician Assistant in Snellville, Georgia. Qualified in 2025, 1 year ago. Practices with Advanced Urology Institute of Georgia, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024

Practice location Address checks out

1557 Janmar Rd
Snellville, GA 30078-5686
Phone: (678) 344-8900
Fax: (678) 666-5201
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 13892 (GA)

Record details

NPI number1114743655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2024
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address1551 Janmar Rd, Snellville, GA 30078-5606

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Urology Institute Of Georgia — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Snellville