Active NPI
Ash Morrow Medical Center Inc
- Cardiovascular Disease Physician
- Forest Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 033410
- Legal business name
- ASH MORROW MEDICAL CENTER INC
- Practice address
- 769 Morrow Rd
Forest Park, GA 30297-3240 - Phone
- (770) 961-4646
- Fax
- (404) 363-4938
- NPI assigned
- Dec 2, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarence E Morgan Jr., M.D.
- Title
- President
- Phone
- (770) 961-4646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 033410 | GA | Primary |
Addresses
Primary practice location
769 Morrow Rd
Forest Park, GA 30297-3240
Mailing address
769 Morrow Rd
Forest Park, GA 30297-3240
Phone (770) 961-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2037109 | Ash Morrow Medical Center, Inc | Certificate of waiver | Feb 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
769 Morrow Rd
Forest Park, GA 30297
Phone (770) 703-7746
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Forest Park, GA
- NPI 1609939834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073681334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 MORROW RD",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973240",
"telephone_number": "770-961-4646",
"fax_number": "404-363-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 MORROW RD",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973240",
"telephone_number": "770-961-4646",
"fax_number": "404-363-4938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASH MORROW MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "CLARENCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-961-4646",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "033410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, GA
- Faith Adonis Andrews, MD
- Angels Recovery and Spirituality
- Apria Healthcare LLC
- Aptive Diagnostics LLC
- Mohammad Arshad, M.D.
- At Your Service Medical Transport LLC
- Atlanta Community Chiropractic LLC (Atlanta Community Chiropractic)
- Atlanta Internal Medicine Group, Inc.
- Atlanta Medical Professional Group
- Back 2 Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.