Individual provider Active NPI

Justin Russell Morgan, PA-C

  • Physician Assistant
  • Morgantown, WV
National Provider Identifier
1437389293
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01418 Issued in WV
Practice address
6000 Memorial Church Drive
Morgantown, WV 26501
Phone
(304) 292-7316
Fax
(304) 599-8917
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01418 WV Primary

Addresses

Primary practice location

6000 Memorial Church Drive
Morgantown, WV 26501

Mailing address

6000 Memorial Church Drive
Morgantown, WV 26501
Phone (304) 292-7316

Other practice location 1

1000 Mon Health Medical Park Dr Ste 1201
Morgantown, WV 26505-1143
Phone (304) 599-9400

Other practice location 2

1300 Fort Pierpont Dr Ste 101
Morgantown, WV 26508-1314
Phone (304) 241-7150

Other practice location 3

6000 Memorial Church Drive
Morgantown, WV 26501
Phone (304) 292-7316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20090922000324 WV Practitioner - Physician Assistant 9234285917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

6000 Memorial Church Dr
Morgantown, WV 26501-1503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Mar 1, 2017 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508
Phone (304) 241-7150

1000 Mon Health Medical Park Dr
Ste 1201
Morgantown, WV 26505
Phone (304) 599-9400

200 Wedgewood Dr
#203
Morgantown, WV 26505
Phone (304) 598-0071

933 Cheat Rd
Morgantown, WV 26508
Phone (304) 554-2292

1197 Van Voorhis Rd
Morgantown, WV 26505
Phone (304) 598-2233

6000 Memorial Church Dr
Westover, WV 26501
Phone (304) 292-7316

900 Fairmont Rd
Westover, WV 26501
Phone (304) 292-7316

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.

Hospital & facility affiliations 2

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1437389293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-599-9400",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Fort Pierpont Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081314",
            "country_code": "US",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Memorial Church Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26501",
            "country_code": "US",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JUSTIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.