MALDONADO & MORENO, PC
NPI 1699815340
Family Medicine in Jackson, GA
About Maldonado & Moreno, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALDONADO & MORENO, PC (NPI 1699815340) is a healthcare organization registered as a family medicine in Jackson, Georgia and active in the NPI registry since February 2007. The organization lists Cathy Washington, Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 8
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maldonado & Moreno, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maldonado & Moreno, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maldonado & Moreno, PC's NPI number?
The NPI number for Maldonado & Moreno, PC is 1699815340. It was assigned to this organization in the NPPES registry on February 8, 2007.
Where is Maldonado & Moreno, PC located?
Maldonado & Moreno, PC is located at 375 Mcdonough Rd, Jackson, GA 30233. The listed phone number is (770) 775-4622.
What is Maldonado & Moreno, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Maldonado & Moreno, PC enrolled in Medicare?
Yes. Maldonado & Moreno, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maldonado & Moreno, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Maldonado & Moreno, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maldonado & Moreno, PC was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maldonado & Moreno, Pc · NPI 1699815340
Family Medicine organization in Jackson, Georgia. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1699815340 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Cathy Washington, BILLING
## Practice location
- **Address:** 375 MCDONOUGH RD, Jackson, GA 30233-1509
- **Phone:** (770) 775-4622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2015
- **Other identifiers:** Medicaid 000885024A (GA); Medicaid 555980929C (GA); Medicaid 000211549A (GA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699815340) · Data from the CMS NPPES public registry.