Individual provider Active NPI

Jeffrey Demond Morgan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oakland Park, FL
National Provider Identifier
1346338019
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
4301088881 Issued in MI
Practice address
300 E Oakland Park Blvd
Suite 356
Oakland Park, FL 33334-2148
Phone
(843) 319-9432
Fax
(800) 640-5242
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4301088881 MI Primary

Addresses

Primary practice location

300 E Oakland Park Blvd
Suite 356
Oakland Park, FL 33334-2148

Mailing address

4611 Hard Scrabble Rd Ste 109
Columbia, SC 29229-9499
Phone (843) 933-9227

Other identifiers 1

IdentifierTypeStateIssuer
236364MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040322001516 SC Practitioner - Orthopedic Surgery 2769373562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088881MIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Dec 15, 2022 Accepting new patients
Integrated Medical Center of Jupiter, PA Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2379 Cypress Cir
Conway, SC 29526
Phone (413) 219-5530

213 Tanglewood Ct
Ridgeway, SC 29130
Phone (770) 939-1288

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1346338019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 HARD SCRABBLE RD STE 109",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299499",
            "telephone_number": "843-933-9227",
            "fax_number": "888-580-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 356",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "843-319-9432",
            "fax_number": "800-640-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JEFFREY",
        "middle_name": "DEMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301088881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.