Active NPI
Charles G Morgan Jr., M.D.
- Internal Medicine Physician
- Monroe, LA
National Provider Identifier
1477541696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 07580R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1384321 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 07580R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Surgical Hospital | Current | Accepting new patients | |
| Monroe Surgical Hospital, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Monroe, LA
- NPI 1962697102
-
- Rural Health Clinic/Center
- Mangham, LA
- NPI 1871153379
-
- Community Based Hospice Care Agency
- Monroe, LA
- NPI 1548293285
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
-
- Long Term Care Hospital
- Monroe, LA
- NPI 1932154796
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
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Belinda R. Morgan, FNPC
- Jordan Day Morgan, FNP-C
- William Charles Morgan Jr.
- Bobby J Morris Jr., R.PH.
- Danielle Morris
- Denishal Trinyell Morris
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.