Individual provider Active NPI

Cara Monette Morgan, MD

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1366477630
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25532 Issued in MS
Practice address
4541 N State St
Jackson, MS 39206-5308
Phone
(601) 533-7017
Fax
(769) 333-9151
NPI assigned
Jul 12, 2006
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023787 LA
Family Medicine Physician 207Q00000X 68833 GA
Family Medicine Physician 207Q00000X 25532 MS Primary

Addresses

Primary practice location

4541 N State St
Jackson, MS 39206-5308

Mailing address

PO Box 746085
Atlanta, GA 30374-6085
Phone (773) 352-1515

Other practice location 1

911 Ellis Ave
Jackson, MS 39209-6256
Phone (601) 533-7016

Other identifiers 1

IdentifierTypeStateIssuer
1696447MedicaidLA

Other names 1

  • Cara Monette Morgan-Daniels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190416000889 MS Practitioner - Family Practice 8820999295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Mississippi, LLCGroup PAC ID 7012334170, 16 clinicians

Practice addresses (Care Compare)

911 Ellis Ave
Jackson, MS 39209-6256
Phone (601) 533-7016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023787LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Oak Street Health Physicians Group of Mississippi, LLC Family Medicine CurrentSince Mar 28, 2022 Accepting new patients
Family Health Care Clinic, Inc CurrentSince Dec 28, 2018 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 28, 2018 Accepting new patients
Houma Emergency Medicine Associates LLC Past Accepting new patients
Michael E Isabelle MD Apmc Past Accepting new patients
Comprehensive Care Plus Past Accepting new patients

Locations

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

4541 N State St
Jackson, MS 39206
Phone (601) 533-7017

911 Ellis Ave
Jackson, MS 39209
Phone (601) 533-7016

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 502-3009

Interoperability endpoints

  • Direct secure messaging: cara.morgan@oakstreethealth.gwaydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1366477630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746085",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065308",
            "telephone_number": "601-533-7017",
            "fax_number": "769-333-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392096256",
            "country_code": "US",
            "telephone_number": "601-533-7016",
            "fax_number": "769-333-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CARA",
        "middle_name": "MONETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "25532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696447",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "MORGAN-DANIELS",
            "middle_name": "MONETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.