NATASHA MORA
NPI 1114743655
Physician Assistant - Surgical in Snellville, GA

Q: What is Natasha Mora's NPI number?

The NPI number for Natasha Mora is 1114743655. It was assigned to this individual provider in the NPPES registry on November 30, 2024.

Q: What is Natasha Mora's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Natasha Mora was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2024PECOS Enrolled

1557 JANMAR RD, SNELLVILLE, GA 30078(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, Mar 16, 2026 (2 updates tracked since 2026).

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About Natasha Mora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATASHA MORA (NPI 1114743655) is an individual surgical provider in Snellville, Georgia, licensed in Georgia (13892) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114743655

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNATASHA MORA

Location Address1557 JANMAR RDSnellville, GA 30078-5686

Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201

Phone(678) 344-8900

Fax(678) 666-5201

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 30, 2024

Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1114743655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 13892

1557 JANMAR RD, Snellville, GA 30078

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha Mora is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355816752

PECOS Enrollment IDI20260413002224

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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