Individual provider Active NPI

Charles G Morgan Jr., M.D.

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1477541696
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
07580R Issued in LA
Practice address
1506 Royal Ave
Monroe, LA 71201
Phone
(318) 966-8600
Fax
(318) 966-8601
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 07580R LA Primary

Addresses

Primary practice location

1506 Royal Ave
Monroe, LA 71201

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-8600

Other practice location 1

920 Oliver Rd
Monroe, LA 71201-5702
Phone (318) 361-0016

Other practice location 2

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other identifiers 1

IdentifierTypeStateIssuer
1384321MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmorgan16260@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040217000868 LA Practitioner - Internal Medicine 5496654824 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07580RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Surgical Hospital CurrentSince May 15, 2018 Accepting new patients
Monroe Surgical Hospital, LLC CurrentSince May 15, 2018 Accepting new patients
Monroe Surgical Hospital, LLC Current Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Hospice Care of Louisiana, LLC Past Accepting new patients
St Francis Specialty Hospital,Inc Past Accepting new patients

Locations

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/monsurg-c220be5f

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1477541696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-8600",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-8600",
            "fax_number": "318-966-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Oliver Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015702",
            "country_code": "US",
            "telephone_number": "318-361-0016",
            "fax_number": "318-361-0667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "07580R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1384321",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmorgan16260@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cmorgan16260@direct.casso.us.com",
            "address_1": "1506 Royal Ave",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1506 Royal Ave",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.