Individual provider · Type 1 NPI

Sierra Moore, PA

Physician Assistant · Tucker, GA

NPI number 1215412754 Active

Practice location

1462 Montreal Rd Ste 212
Tucker, GA 30084-6931

Fax (470) 709-5810

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	GA9015 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215412754

Sierra Moore, PA's National Provider Identifier is 1215412754, issued on Oct 1, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tucker, GA. The record was last updated on Oct 29, 2026.