Frederick Daniel Morgan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

026901 Issued in GA

Practice address

4759 Rockbridge Rd
Suite C
Stone Mountain, GA 30083-4295

Phone

(404) 296-3833

Fax

(404) 501-0559

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1326029471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 ROCKBRIDGE RD",
            "address_2": "SUITE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834295",
            "telephone_number": "404-296-3833",
            "fax_number": "404-501-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 ROCKBRIDGE RD",
            "address_2": "SUITE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834295",
            "telephone_number": "404-296-3833",
            "fax_number": "404-501-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "FREDERICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "026901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00295017A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie D. Moody
• Charles Andrew Moore, DMD
• Danielle Leandrea Moore, LPN
• Lashanda Denise Moore, NP
• Shawn Anthony Moore
• Morningstar Kompanion LLC
• Jemekia Morris Thornton
• Monica Lynnette Morris
• Selima R Morrow, LMSW
• Shaunna T. Morrow, D.C.

• Family Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.