Active NPI
Keath L. Morgan, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN42479
- Practice address
- 380 Hospital Dr
Suite 410
Macon, GA 31217 - Phone
- (478) 746-5644
- Fax
- (478) 745-4849
- NPI assigned
- Apr 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN42479 | GA | Primary |
Addresses
Primary practice location
380 Hospital Dr
Suite 410
Macon, GA 31217
Mailing address
PO Box 2564
Macon, GA 31203-2564
Phone (478) 746-5644
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000547951L | Medicaid | GA | |
| 327207 | Other | GA | WELLCARE |
| 000547951K | Medicaid | GA | |
| 000547951M | Medicaid | GA | |
| 00547951B | Medicaid | GA | |
| 430002214 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577
Hospital & facility affiliations
- Coliseum Medical Centers, LLC, Dba
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN42479 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Robins Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
380 Hospital Dr
Ste 380
Macon, GA 31217
Phone (478) 746-5644
380 Hospital Dr
Ste 410
Macon, GA 31217
Phone (478) 745-1215
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Warner Robins, GA
- NPI 1154392660
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1073570321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "312032564",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "31217",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KEATH",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN42479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000547951L",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "327207",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000547951K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000547951M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00547951B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430002214",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.