Individual provider Active NPI

Julli Ann Morgan, ARNP

  • Adult Health Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1245230960
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1575192 Issued in FL
Practice address
699 W Cocoa Beach Cswy
Suite 403
Cocoa Beach, FL 32931-3577
Phone
(321) 868-8348
Fax
(321) 868-8349
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ARNP15775192 FL
Adult Health Nurse Practitioner 363LA2200X ARNP1575192 FL Primary

Addresses

Primary practice location

699 W Cocoa Beach Cswy
Suite 403
Cocoa Beach, FL 32931-3577

Mailing address

PO Box 561600
Rockledge, FL 32956-1600
Phone (321) 434-4600

Other identifiers 1

IdentifierTypeStateIssuer
003368200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001304 MS Practitioner - Nurse Practitioner 5799970570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

  • Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP15775192FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Hardy Wilson Memorial Hospital Past Accepting new patients

Locations

213 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 892-2225

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1245230960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-434-4600",
            "fax_number": "321-259-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY",
            "address_2": "SUITE 403",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313577",
            "telephone_number": "321-868-8348",
            "fax_number": "321-868-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JULLI",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ARNP15775192",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1575192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003368200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.