MR. MATTHEW EUGENE MOON FNP
NPI 1861929929
Nurse Practitioner - Acute Care in Canton, GA
About Mr. Matthew Eugene Moon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW EUGENE MOON FNP (NPI 1861929929) is an individual acute care provider in Canton, Georgia, licensed in Georgia (RN222612) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Matthew Eugene Moon Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Cherokee
Acute Care Hospitals · Canton, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, GA 30115
CANTON, GA 30115
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 Matthew Moon's NPI number?
The NPI number for Matthew Moon is 1861929929. It was assigned to this individual provider in the NPPES registry on May 18, 2017.
Where is Matthew Moon located?
Matthew Moon practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (770) 224-1000.
What is Matthew Moon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Matthew Moon enrolled in Medicare?
Yes. Matthew Moon 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.
Which organization bills Medicare for Matthew Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Moon reassigns Medicare benefits to North Atlanta Professional Services LLC (Atlanta, GA). The 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 Matthew Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Moon affiliated with any hospitals?
According to CMS data, Matthew Moon is affiliated with Northside Hospital Cherokee.
When was this NPI record last updated?
The NPPES record for Matthew Moon was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Mr. Matthew Eugene Moon, FNP · NPI 1861929929
Acute Care physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since May 18, 2017.
## Identity
- **NPI:** 1861929929 (Entity type: Individual)
- **Enumerated:** May 18, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN222612 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115-8015
- **Phone:** (770) 224-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861929929) · Data from the CMS NPPES public registry.