Individual provider Active NPI

Sally Lawson Morgan, NP

  • Family Nurse Practitioner
  • Nettleton, MS
National Provider Identifier
1063463677
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R682446 Issued in MS
Practice address
182 W Main St
Nettleton, MS 38858
Phone
(662) 963-5050
Fax
(662) 963-5051
NPI assigned
May 16, 2006
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 R682446 MS Primary

Addresses

Primary practice location

182 W Main St
Nettleton, MS 38858

Mailing address

182 W Main St
Nettleton, MS 38858-6075
Phone (662) 963-5050

Other identifiers 1

IdentifierTypeStateIssuer
00117719MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180824001974 AL Practitioner - Nurse Practitioner 8527053834 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R682446MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Go Medical Corporation PC CurrentSince Jul 1, 2019 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince May 1, 2019 Accepting new patients
Quality of Life Health Services, Inc. Current Accepting new patients
Quality of Life Health Services,Inc CurrentSince May 1, 2019 Accepting new patients
Go Medical Corporation PC PastSince Aug 18, 2024 Accepting new patients

Locations

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1216 Wilbanks Ave
Gadsden, AL 35903
Phone (256) 439-6384

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

Organizations & group practices 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1063463677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W MAIN ST",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "388586075",
            "telephone_number": "662-963-5050",
            "fax_number": "662-963-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W MAIN ST",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-5050",
            "fax_number": "662-963-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SALLY",
        "middle_name": "LAWSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R682446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nettleton, MS

Sources for this page

Verify at the official NPI Registry.