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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MELENDA JACKSON MOORE CSFA, CST
NPI 1831094226
Specialist/Technologist, Other - Surgical Assistant in Marietta, GA

Active since October 14, 2026
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060(678) 517-3428(770) 485-1534 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melenda Jackson Moore Csfa, Cst NPPES

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

MELENDA JACKSON MOORE CSFA, CST (NPI 1831094226) is an individual surgical assistant in Marietta, Georgia, licensed in Georgia (202339) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1831094226
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMELENDA JACKSON MOORECredential: CSFA, CST
Location Address55 ATLANTA ST SE STE 204Marietta, GA 30060-1977
Mailing Address2622 Memory LnDouglasville, GA 30135-4452 · (678) 334-4457
Phone(678) 517-3428
Fax(770) 485-1534
Sole ProprietorYes
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1831094226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in GA · 202339
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
55 ATLANTA ST SE STE 204, Marietta, GA 30060
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Other Providers at the Same Location NPPES 2

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

MR. BRANDON VIRDELL KING CSA, CSFA
Physician Assistant (Surgical)
55 ATLANTA ST SE STE 204
MARIETTA, GA 30060
Cobb County (678) 517-3428
OLYMPIAN SURGICAL ASSISTANTS
Physician Assistant (Surgical)
55 ATLANTA ST SE STE 204
MARIETTA, GA 30060
Cobb County (678) 517-3428

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 Melenda Moore's NPI number?

The NPI number for Melenda Moore is 1831094226. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Melenda Moore located?

Melenda Moore practices at 55 Atlanta St SE Ste 204, Marietta, GA 30060. The listed phone number is (678) 517-3428.

What is Melenda Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Melenda Moore was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.