Crystal Moon, PA-C
NPI 1912304015 · Medical Physician Assistant · Chattanooga, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Moon, PA-C is a Medical Physician Assistant provider in Chattanooga, TN (NPI 1912304015).
Provider details
- NPI number
- 1912304015
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2666 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 645 Paul Huff Parkway NwSuite 105Cleveland, TN 37312Phone: (423) 790-4420Fax: (423) 790-7750
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2018-06-14
Frequently asked questions
- What is Crystal Moon's NPI number?
- Crystal Moon's National Provider Identifier (NPI) is 1912304015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Moon's specialty?
- Crystal Moon is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Crystal Moon located?
- Crystal Moon's practice location on file with NPPES is 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412.
- What is Crystal Moon's phone number?
- The practice phone number listed in the NPPES registry for Crystal Moon is (423) 893-9787.
- Does Crystal Moon accept Medicare?
- Crystal Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Moon's NPI active?
- Yes — Crystal Moon's NPI (1912304015) is active in the NPPES registry as of the last update on 2018-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.