Individual provider Active NPI

Morgan A Gant, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Carterville, IL
National Provider Identifier
1275848780
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.008260 Issued in IL
Practice address
310 W Plaza Dr
Carterville, IL 62918-1980
Phone
(618) 985-4344
Fax
(618) 985-6469
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.008260 IL Primary

Addresses

Primary practice location

310 W Plaza Dr
Carterville, IL 62918-1980

Mailing address

310 W Plaza Dr
Carterville, IL 62918-1980
Phone (618) 985-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101019001563 IL Practitioner - Nurse Practitioner 7416140751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

303 S Commercial St
Suite 10
Harrisburg, IL 62946-2125
Phone (618) 252-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.008260ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health of Southern Illinois CurrentSince Sep 24, 2018 Accepting new patients
Albany Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
Integrated Health of Southern Illinois, LTD. CurrentSince Sep 24, 2018 Accepting new patients
Naeem a Qureshi PC Past Accepting new patients

Locations

35 Albany Rd
Carbondale, IL 62903
Phone (618) 549-4688

35 Albany Rd
Ste A
Carbondale, IL 62903
Phone (888) 804-4330

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

308 W Plaza Dr
Carterville, IL 62918
Phone (618) 985-4344

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

Interoperability endpoints

  • Direct secure messaging: morgan.gant.1@26231.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1275848780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W PLAZA DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181980",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W PLAZA DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181980",
            "telephone_number": "618-985-4344",
            "fax_number": "618-985-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "MORGAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.008260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, IL

Sources for this page

Verify at the official NPI Registry.