Individual provider Active NPI

Errol Morgan III, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fayetteville, GA
National Provider Identifier
1407528375
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN123002 Issued in GA
Practice address
101-217 Banks Rd #121-122
Fayetteville, GA 30214
Phone
(770) 282-3746
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7268 LA
Dentist 122300000X DN123002 GA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN123002 GA Primary

Addresses

Primary practice location

101-217 Banks Rd #121-122
Fayetteville, GA 30214

Mailing address

397 N Central Ave Unit 4126
Hapeville, GA 30354-1699
Phone (615) 838-2870

Other practice location 1

3680 Cascade Rd SW Ste B
Atlanta, GA 30331-2169
Phone (404) 691-4848

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204001403 GA Order and Referring Only - DentistPractitioner - Dentist 5092163980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7268LAMDProfessional Counselor
DN123002GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldcanine Professional Corporation Dentist Current Accepting new patients
Cascade Family Dental General Practice Current Accepting new patients

Organizations & group practices 2

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1407528375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 N CENTRAL AVE UNIT 4126",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541699",
            "telephone_number": "615-838-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-217 BANKS RD #121-122",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-282-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 Cascade Rd SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303312169",
            "country_code": "US",
            "telephone_number": "404-691-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ERROL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7268",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123002",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN123002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.