Individual provider Active NPI

Mark Wayne Morgan, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Wilmington, NC
National Provider Identifier
1275535072
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
200400558 Issued in NC
Practice address
2305 Canterwood Dr
Wilmington, NC 28401-7300
Phone
(910) 343-0119
Fax
(910) 343-8983
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 200400558 NC Primary

Addresses

Primary practice location

2305 Canterwood Dr
Wilmington, NC 28401-7300

Mailing address

1404 Commonwealth Dr
Wilmington, NC 28403-1473
Phone (910) 343-0119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001068 NC Practitioner - Plastic and Reconstructive Surgery 3577531151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Plastic Surgery Specialists, P.a.Group PAC ID 2961475884, 3 clinicians

Practice addresses (Care Compare)

2305 Canterwood Dr
Wilmington, NC 28401-7300
Phone (910) 509-7546

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy35
Melanoma (skin cancer) excision61
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Plastic Surgery Specialists, P.a. Plastic and Reconstructive Surgery CurrentSince Jul 19, 2004 Accepting new patients

Locations

291 Huff Dr
Jacksonville, NC 28546
Phone (910) 343-0119

1404 Commonwealth Dr
Wilmington, NC 28403
Phone (910) 256-1221

1404 Commonwealth Dr
Ste 100
Wilmington, NC 28403

2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119

1404 Commonwealth Dr
Ste 101
Wilmington, NC 28403

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 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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1275535072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 COMMONWEALTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031473",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CANTERWOOD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017300",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "200400558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.