Active NPI
Jack Colbert Morgan III, MD
- Psychiatry Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD8911
- Practice address
- 6005 Park Avenue
Suite 509
Memphis, TN 38119 - Phone
- (901) 766-7500
- Fax
- (901) 766-7550
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD8911 | TN | Primary |
Addresses
Primary practice location
6005 Park Avenue
Suite 509
Memphis, TN 38119
Mailing address
6005 Park Avenue
Suite 509
Memphis, TN 38119
Phone (901) 766-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721593 | Medicaid | TN | |
| 2006300 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tulane University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5100 Poplar Ave
Suite 322
Memphis, TN 38137-2604
Phone (901) 766-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8911 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Psychiatric Associates P.C. | Current | Accepting new patients |
Locations
5100 Poplar Ave
Ste 322
Memphis, TN 38137
Phone (901) 366-9355
6005 Park Ave
Ste 509
Memphis, TN 38119
Phone (901) 682-2469
Organizations & group practices 1
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.
-
- Specialist
- Memphis, TN
- NPI 1194929075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215973490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVENUE",
"address_2": "SUITE 509",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-766-7500",
"fax_number": "901-766-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVENUE",
"address_2": "SUITE 509",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-766-7500",
"fax_number": "901-766-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JACK",
"middle_name": "COLBERT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD8911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3721593",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2006300",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.