NPIMap

Individual provider Active NPI

Morgan Joseph Caulfield, PA-C

  • Physician Assistant
  • Vicksburg, MS
National Provider Identifier
1174087209
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00405 Issued in MS
Practice address
2080 S Frontage Rd Ste 100
Vicksburg, MS 39180-5883
Phone
(601) 262-1000
NPI assigned
Jan 23, 2019
Last updated
Jan 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00405 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180-5883

Mailing address

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180-5883
Phone (601) 262-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814001451 MS Practitioner - Physician Assistant 4082941075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Vicksburg PLLCGroup PAC ID 3577782366, 8 clinicians

Practice addresses (Care Compare)

2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5883
Phone (601) 262-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
99.81
Improvement activities
40
Cost
72.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00405MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Hma Physician Management LLC Current Accepting new patients
Vicksburg Hma Physician Management LLC Past Accepting new patients
Careplus Lakeview Family Medicine Past Accepting new patients

Locations

2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1174087209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805883",
            "telephone_number": "601-262-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805883",
            "telephone_number": "601-262-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "MORGAN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.