Integrity Long Term Care LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

INTEGRITY LONG TERM CARE LLC

Practice address

1600 Riverside Ave
Waycross, GA 31501-7028

Phone

(912) 490-4325

Fax

(912) 490-2873

NPI assigned

Oct 5, 2022

Last updated

Dec 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Alan Morton, MDNPI 1881614584

Title

Sole Member

Phone

(912) 490-4325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Alan Morton, M.D.

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1881614584
  Medicare reassignment Care Compare group NPD Authorized official
• Alison H Alderin, FNP

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1992170476
  Medicare reassignment Care Compare group NPD
• Marah Johnson Miles, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1306439369
  Medicare reassignment Care Compare group NPD
• Beverly Denise Graham, FNP-C

  • Family Nurse Practitioner
  • Fitzgerald, GA
  • NPI 1316451735
  Medicare reassignment NPD
• Utrena Donsha Grant

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1548760622
  Medicare reassignment NPD
• Jonathan S Dial, P.A.

  • Medical Physician Assistant
  • Waycross, GA
  • NPI 1366523292
  Medicare reassignment

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1376268177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RIVERSIDE AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017028",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "912-490-4325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Geriatric Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.