Active NPI
Connie Payongayong Morales
- Family Nurse Practitioner
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-111392
- Practice address
- 427 S 3Rd St
Gadsden, AL 35901-5210 - Phone
- (256) 543-3508
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-111392 | AL | Primary |
Addresses
Primary practice location
427 S 3Rd St
Gadsden, AL 35901-5210
Mailing address
393 Williams Ave
Rainbow City, AL 35906-6551
Phone (256) 328-4189
Other practice location 1
427 S 3rd St
Gadsden, AL 35901-5210
Phone (256) 543-3508
Other practice location 2
309 W Grand Ave
Rainbow City, AL 35906-3241
Phone (256) 442-6400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services-Gadsden Physician Management LLC | Current | Accepting new patients | |
| Edward F. Hwang, M.D. | Past | Accepting new patients |
Locations
515 S 3rd St
Gadsden, AL 35901
Phone (256) 413-6520
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222
Interoperability endpoints
- https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1356731467
-
- Nephrology Physician
- Gadsden, AL
- NPI 1073649570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063933711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 WILLIAMS AVE",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359066551",
"telephone_number": "256-328-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S 3RD ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015210",
"telephone_number": "256-543-3508"
}
],
"practiceLocations": [
{
"address_1": "427 S 3rd St",
"address_purpose": "LOCATION",
"city": "Gadsden",
"state": "AL",
"postal_code": "359015210",
"country_code": "US",
"telephone_number": "256-543-3508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Rainbow City",
"state": "AL",
"postal_code": "359063241",
"country_code": "US",
"telephone_number": "256-442-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "CONNIE",
"middle_name": "PAYONGAYONG",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-111392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.