Active NPI
E Allen Morgan Jr., PA
- Surgical Physician Assistant
- Atlanta, GA
National Provider Identifier
1255397915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 999
- Practice address
- 5665 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1764 - Phone
- (404) 252-6104
- Fax
- (404) 257-1808
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 999 | GA | Primary |
Addresses
Primary practice location
5665 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1764
Mailing address
1838 American Way
Lawrenceville, GA 30043-6611
Phone (770) 995-7622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242720 | Other | GA | BCBS EDI |
| 970002275 | Other | GA | RR MEDICARE |
| 003108479B | Medicaid | GA | |
| 191466194A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000999 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Group of Saint Joseph'S, LLC | Past | Accepting new patients | |
| Peachtree Cardiovascular Surgeons at Saint Joseph'S LLC | Past | Accepting new patients | |
| Peachatree Cardiovascular & Thoracic Surgeons, P.a. | Past | Accepting new patients | |
| Peachtree Cardiovascular & Thoracic Surgeons PA | Past | Accepting new patients |
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.
-
- Specialist
- Atlanta, GA
- NPI 1689639080
-
- Critical Care Medicine Nurse Practitioner
- Atlanta, GA
- NPI 1639484132
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlanta, GA
- NPI 1093021172
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1669668547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1255397915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 AMERICAN WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436611",
"telephone_number": "770-995-7622",
"fax_number": "770-995-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421764",
"telephone_number": "404-252-6104",
"fax_number": "404-257-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "E",
"middle_name": "ALLEN",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EDI",
"identifier": "242720",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970002275",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003108479B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191466194A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.