OrganizationActive
Moon River, LLC
NPI 1942639539 · Early Intervention Provider Agency · Marietta, GA
Provider details
- NPI number
- 1942639539
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Maria Smith, President(770) 977-6866
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2000 First Dr
Suite 340
Marietta, GA 30062-7739
Phone: (770) 977-6866
Fax: (770) 783-8639
Street-level locationGet directions
Mailing address
790 Oak Trail Dr
Marietta, GA 30062-7502
Registry dates
- Enumerated
- 2013-11-05
- Last updated
- 2013-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.