Active NPI
Gina Marie Morgan, D.P.M.
- Podiatrist
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 277
- Practice address
- 2711 Lakeside Dr
Benton, AR 72019-7092 - Phone
- (845) 461-9574
- NPI assigned
- May 13, 2009
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 277 | AR | Primary |
Addresses
Primary practice location
2711 Lakeside Dr
Benton, AR 72019-7092
Mailing address
2711 Lakeside Dr
Benton, AR 72019-7092
Phone (845) 461-9574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075
1016 N Fourche Ave
Perryville, AR 72126-8545
Phone (501) 238-1284
1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820
20 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-8970
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 13 |
| Removal of nail tissue | 76 |
| Removal or shaving of skin growth | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277 | AR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LTC LLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current | Accepting new patients |
| Bradley Bibb, MD PLLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LTC LLC | Single Specialty | Current | Accepting new patients |
Locations
806 E Main St
Flippin, AR 72634
Phone (870) 219-7706
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
Interoperability endpoints
- gina.morgan.1@2424.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Weiner, AR
- NPI 1114578929
Single Specialty
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1578007647
-
- Podiatrist
- Bryant, AR
- NPI 1215567623
-
- Rural Health Clinic/Center
- Caraway, AR
- NPI 1104321850
Single Specialty
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
Single Specialty
-
dba Access Medical Clinic Dardanelle
- Rural Health Clinic/Center
- Dardanelle, AR
- NPI 1568904480
-
- Family Medicine Physician
- Springfield, MO
- NPI 1841154846
Single Specialty
-
- Rural Health Clinic/Center
- Chickasha, OK
- NPI 1013724764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1093949448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 LAKESIDE DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720197092",
"telephone_number": "845-461-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 LAKESIDE DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720197092",
"telephone_number": "845-461-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.
- 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.