Kelly Dianne Morgan, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN134518 Issued in GA

Practice address

1602 Vernon Rd
Suite 400
Lagrange, GA 30240-4129

Phone

(706) 882-9341

Fax

(706) 884-0131

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.morgan@gadirect.net
• Direct secure messaging: kelly.morgan@lim.gadirect.net

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.

• Lagrange Internal Medicine, PC

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1831267632
  Medicare reassignment NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1346538733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 400",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-882-9341",
            "fax_number": "706-884-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 400",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-882-9341",
            "fax_number": "706-884-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELLY",
        "middle_name": "DIANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN134518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lagrangeinternalmedicine@1300.direct.myezyaccess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1602 Vernon Rd",
            "address_2": "Suite 400",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Montondo, LPC
• Summer Moon, LPC
• Kelly Mooney, ATC/L
• Kristen Kosola Moore
• Timothy Eugene Moore, PT
• Tommy John Morgan, M.D.
• Caitlin V Morman, DPT, PT
• Makayla Morman
• Mortar & Pestle, LLC
• Mortar and Pestle, LLC

• Primary Care Nurse Practitioner in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.