Provider Demographics
NPI:1427678846
Name:FRANKS, SUMMER MOON (PA-C)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:MOON
Last Name:FRANKS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:MARIE
Other - Last Name:MOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1224 AUGUSTA WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6582
Mailing Address - Country:US
Mailing Address - Phone:706-250-7025
Mailing Address - Fax:706-922-0922
Practice Address - Street 1:1224 AUGUSTA WEST PKWY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6582
Practice Address - Country:US
Practice Address - Phone:706-250-7025
Practice Address - Fax:706-922-0922
Is Sole Proprietor?:No
Enumeration Date:2020-04-26
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA12183OtherGEORGIA PA LICENSE
FLPA9113330OtherFLORIDA PA LICENSE
SC5237OtherSOUTH CAROLINA PA LICENSE