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.
- Title
- Owner
- Phone
- (256) 927-2772
Practitioners 1
-
Stephanie M. Morgan, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2330824 | Morgan Medical | Certificate of waiver | Sep 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
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
{
"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
- Valerie Sanchez Leonard
- Mark A McClendon
- James Randall McKissick II
- Larry Mitchell
- Jennings Kelsey Moody
- MP Home Health Services
- Dwayne Avanish Narayan
- Nelson Internal Medicine, LLC
- Emily Beth Oliver
- Tonya S Orndorf
All providers in Centre, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.