Active NPI
Herman Grady Morgan, M.D.
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1326149774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27493
- Practice address
- 2421 Silver Stream Lane
Wilmington, NC 28401 - Phone
- (910) 763-2072
- Fax
- (910) 763-1586
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27493 | NC | Primary |
Addresses
Primary practice location
2421 Silver Stream Lane
Wilmington, NC 28401
Mailing address
2421 Silver Stream Lane
Wilmington, NC 28401
Phone (910) 763-2072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60706 | Other | NC | BCBS NC |
| 8960706 | Medicaid | NC |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27493 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1326149774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 SILVER STREAM LANE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-763-2072",
"fax_number": "910-763-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 SILVER STREAM LANE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-763-2072",
"fax_number": "910-763-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "HERMAN",
"middle_name": "GRADY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "27493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "60706",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8960706",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.