Active NPI
Travis G Morgan, PSY.D.
- Clinical Psychologist
- Richmond Hill, GA
National Provider Identifier
1013170828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004799
- Practice address
- 800 Buckland Hall Rd
Richmond Hill, GA 31324-5354 - Phone
- (912) 622-3993
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3354 | CO | |
| Clinical Psychologist | 103TC0700X | 1158 | HI | |
| Clinical Psychologist | 103TC0700X | PSY004799 | GA | Primary |
Addresses
Primary practice location
800 Buckland Hall Rd
Richmond Hill, GA 31324-5354
Mailing address
800 Buckland Hall Rd
Richmond Hill, GA 31324-5354
Phone (912) 622-3993
Other practice location 1
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130122000523 | GA | Order and Referring Only - Clinical Psychologist | 8820241029 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3354 | CO | MD | Professional Counselor |
| PSY004799 | GA | MD | Clinical Psychologist |
| 1158 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1013170828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BUCKLAND HALL RD",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245354",
"telephone_number": "912-622-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BUCKLAND HALL RD",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245354",
"telephone_number": "912-622-3993"
}
],
"practiceLocations": [
{
"address_1": "1061 Harmon Ave",
"address_2": "Suite 1D03",
"address_purpose": "LOCATION",
"city": "Fort Stewart",
"state": "GA",
"postal_code": "313145641",
"country_code": "US",
"telephone_number": "912-435-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "TRAVIS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3354",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1158",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
- Maria Paula Morato Pereira Silva
- Viviana Moreno Ferreira, OTR/L
- Greg Anthony Morentin, FNP-BC
- Jeffrey D Morgan, PHYSICIAN ASSISTANT
- Karen Ann Morgan, MSN, FNP-C
- Rebeca Morra
- Casey Allen Morrow
- Shiloh Storm Moskowitz
- MPPG, Inc. (Provident OB/GYN Associates)
- MPPG, Inc. (Surgical Specialists of Savannah)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.