Individual provider Active NPI

Patricia A Morgan, MD

  • Pediatrics Physician
  • Clarksville, IN
National Provider Identifier
1457316721
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01058350A Issued in IN
Practice address
2051 Clevidence Blvd Ste C
Clarksville, IN 47129-2278
Phone
(812) 280-6623
Fax
(812) 666-7688
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37947 KY
Pediatrics Physician 208000000X 01058350A IN Primary

Addresses

Primary practice location

2051 Clevidence Blvd Ste C
Clarksville, IN 47129-2278

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other identifiers 7

IdentifierTypeStateIssuer
1209551OtherKYCHA / NCMA
025362OtherKYSIHO / NCMA
9517685OtherKYCIGNA / NCMA
0000230310OtherKYHUMANA / NCMA
000000315507OtherKYANTHEM / NCMA
200384190MedicaidIN
64054802MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address pmorgan5195@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230105000476 IN Practitioner - Pediatric Medicine 0648170514 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058350AINMDPediatrics Physician
37947KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Oct 7, 2022 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Oct 7, 2022 Accepting new patients

Locations

2051 Clevidence Blvd
Ste C
Clarksville, IN 47129
Phone (812) 280-6623

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1457316721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CLEVIDENCE BLVD STE C",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292278",
            "telephone_number": "812-280-6623",
            "fax_number": "812-666-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "37947",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01058350A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA / NCMA",
            "identifier": "1209551",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO / NCMA",
            "identifier": "025362",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA / NCMA",
            "identifier": "9517685",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA / NCMA",
            "identifier": "0000230310",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / NCMA",
            "identifier": "000000315507",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64054802",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmorgan5195@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.