Morgan Medical, LLC.

Organization Active NPI Family Medicine Physician · Centre, AL

NPI 1164239083 · NPPES record last updated Dec 13, 2024

Key facts

NPI
1164239083
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MORGAN MEDICAL, LLC.
Practice address
1199 Chesnut Byp
Centre, AL 35960-2829
Phone
(256) 927-2772
NPI assigned
Dec 13, 2024
Organization subpart
No

Authorized official

Name
Dr. Stephanie M Morgan, M.D. NPI 1700805520
Title
Owner
Phone
(256) 927-2772

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2330824Morgan Medical
1199 Chesnut Bypass, Centre, AL 35960
Certificate of waiverSep 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250630000786 AL Part B Supplier - Clinic/Group Practice 2769995133 Receives reassigned benefits from 1 practitioner
Practice locations: Centre, AL

National Provider Directory

Locations

1199 Chesnut Byp
Centre, AL 35960
Phone (256) 300-9065

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1199 Chesnut Byp
Centre, AL 35960-2829

Mailing address

1199 Chesnut Byp
Centre, AL 35960-2829
Phone (256) 927-2772

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2024.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1164239083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 CHESNUT BYP",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602829",
            "telephone_number": "256-927-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 CHESNUT BYP",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602829",
            "telephone_number": "256-927-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN MEDICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-927-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

All providers in Centre, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.