Individual provider Active NPI

Dana Marie Morgan, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1043761331
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197511 Issued in GA
Practice address
1610 Alice St
Waycross, GA 31501-4533
Phone
(912) 584-3263
Fax
(912) 809-2296
NPI assigned
Oct 20, 2016
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN197511 GA Primary

Addresses

Primary practice location

1610 Alice St
Waycross, GA 31501-4533

Mailing address

1610 Alice St
Waycross, GA 31501-4533
Phone (912) 550-8892

Other practice location 1

1875 Fant Dr
Ft Oglethorpe, GA 30742-3300
Phone (866) 552-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126001111 GA Practitioner - Nurse Practitioner 5597047522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empower Wellness, LLCGroup PAC ID 1658774807, 2 clinicians

Practice addresses (Care Compare)

11578 Hwy 27
Summerville, GA 30747-5873
Phone (706) 658-5580

1610 Alice St
Waycross, GA 31501-4533
Phone (912) 584-3263

501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN197511GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Nov 12, 2019 Accepting new patients
Gateway Behavioral Health Services CurrentSince Nov 5, 2016 Accepting new patients
Empower Wellness, LLC CurrentSince May 1, 2021 Accepting new patients
Lookout Mountain Community Services CurrentSince Dec 1, 2019 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Nov 12, 2019 Accepting new patients
Gateway Community Service Board CurrentSince Nov 5, 2016 Accepting new patients
Lookout Mountain Community Services CurrentSince Dec 1, 2019 Accepting new patients
Lookout Mountain Community Services Current Accepting new patients
Hospital Authority of Jeff Davis County Georgia Current Accepting new patients

Locations

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945

1875 Fant Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-3387

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5591

1610 Alice St
Waycross, GA 31501
Phone (912) 285-1610

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1043761331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-550-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-584-3263",
            "fax_number": "912-809-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Fant Dr",
            "address_purpose": "LOCATION",
            "city": "Ft Oglethorpe",
            "state": "GA",
            "postal_code": "307423300",
            "country_code": "US",
            "telephone_number": "866-552-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.