MR. CARLOS JULIO MORENO
NPI 1477615862
Physician Assistant in Villa Rica, GA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
690 DALLAS HWY, SUITE 101, VILLA RICA, GA 30180(770) 459-0620(770) 456-7604 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Carlos Julio Moreno NPPES

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

MR. CARLOS JULIO MORENO (NPI 1477615862) is an individual physician assistant in Villa Rica, Georgia, licensed in Georgia (006320) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Miami Medical College (2003).

NPPES Registry Identity

NPI1477615862
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARLOS JULIO MORENO
Location Address690 DALLAS HWY, SUITE 101Villa Rica, GA 30180-1264
Mailing Address690 Dallas Hwy, Suite 101Villa Rica, GA 30180-1264 · (770) 459-0620 · Fax (770) 456-7604
Fax(770) 456-7604
Sole ProprietorNo
Medical School CMSMiami Medical CollegeGraduated 2003
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 19, 2011
NPI 1477615862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 006320 Licensed in FL · PA9102549
Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

690 DALLAS HWY, Villa Rica, GA 30180

Other Identifiers 6

Medicare PINPENDINGGA
Other006320GA · State License - Physician Assistant
Medicare ID-Type UnspecifiedU5282ZFL
Medicaid292140500FL
MedicaidPENDINGGA
OtherPA9102549FL · Pa License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Carlos Julio Moreno is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496785172
PECOS Enrollment IDI20120118000417
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
168 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
690 DALLAS HWY, SUITE 104
VILLA RICA, GA 30180
Pediatrics
690 DALLAS HWY, SUITE 206
VILLA RICA, GA 30180
Obstetrics & Gynecology (Obstetrics)
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Obstetrics & Gynecology (Gynecology)
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Internal Medicine
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Advanced Practice Midwife
690 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Internal Medicine (Pulmonary Disease)
690 DALLAS HWY, SUITE 207-A
VILLA RICA, GA 30180
Allergy & Immunology
690 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Moreno's NPI number?

The NPI number for Carlos Moreno is 1477615862. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Carlos Moreno located?

Carlos Moreno practices at 690 Dallas Hwy Suite 101, Villa Rica, GA 30180. The listed phone number is (770) 459-0620.

What is Carlos Moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carlos Moreno enrolled in Medicare?

Yes. Carlos Moreno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carlos Moreno was last updated on December 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.