Organization Active NPI

Aaron Morgan Medical, LLC

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1023539038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AARON MORGAN MEDICAL, LLC
Practice address
2211 Lake Forest Dr
Upper Marlboro, MD 20774-8941
Phone
(202) 681-3533
Fax
(240) 892-2354
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sylvia Rollins
Title
Billing Manager
Phone
(410) 719-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2211 Lake Forest Dr
Upper Marlboro, MD 20774-8941

Mailing address

2211 Lake Forest Dr
Upper Marlboro, MD 20774-8941
Phone (202) 681-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170802002568 DC Part B Supplier - Clinic/Group Practice 0042581506 Receives reassigned benefits from 1 practitioner
Practice locations: Mitchellville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023539038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 LAKE FOREST DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748941",
            "telephone_number": "202-681-3533",
            "fax_number": "240-892-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LAKE FOREST DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748941",
            "telephone_number": "202-681-3533",
            "fax_number": "240-892-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON MORGAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-719-0020"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.