Individual provider · Type 1 NPI

Matthew Eugene Moon, FNP

Acute Care Nurse Practitioner · Canton, GA

NPI number 1861929929 Active

Practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

7 Trotters Ln NW
Rome, GA 30165-2677

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN222612 (GA)
Family Nurse Practitioner 363LF0000XRN222612 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1861929929

Matthew Eugene Moon, FNP's National Provider Identifier is 1861929929, issued on May 18, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Canton, GA. The record was last updated on Nov 10, 2025.