Individual provider Active NPI

Charity Ross Morgan, AGPCNP-BC

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1215584800
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN170759 Issued in GA
Practice address
300 Bullsboro Dr Ste B-C
Newnan, GA 30263-1680
Phone
(770) 683-3230
Fax
(877) 708-5261
NPI assigned
Aug 20, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN170759 GA Primary

Addresses

Primary practice location

300 Bullsboro Dr Ste B-C
Newnan, GA 30263-1680

Mailing address

2651 Ives Way NW
Kennesaw, GA 30152-6429
Phone (678) 925-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN170759GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beltline Bariatric and Surgical Group LLC CurrentSince Feb 26, 2020 Accepting new patients
Beltline Weight Loss LLC PastSince Aug 25, 2019 Accepting new patients

Locations

300 Bullsboro Dr
Ste Bc
Newnan, GA 30263
Phone (470) 419-4380

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1215584800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 IVES WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526429",
            "telephone_number": "678-925-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BULLSBORO DR STE B-C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631680",
            "telephone_number": "770-683-3230",
            "fax_number": "877-708-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARITY",
        "middle_name": "ROSS",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN170759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.