NPIMap

Individual provider Active NPI

Jimmy D Morgan, DO

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1477560712
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2002009363 Issued in MO
Practice address
1717 S Range Line Rd Ste B
Joplin, MO 64804-3224
Phone
(417) 623-2207
Fax
(417) 623-0342
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2002009363 MO Primary
Family Medicine Physician 207Q00000X 2002009363 MO

Addresses

Primary practice location

1717 S Range Line Rd Ste B
Joplin, MO 64804-3224

Mailing address

1717 S Range Line Rd Ste B
Joplin, MO 64804-3224
Phone (417) 623-2207

Other practice location 1

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2300

Other practice location 2

1130 E 32nd St
Joplin, MO 64804-4034
Phone (417) 347-2273

Other identifiers 2

IdentifierTypeStateIssuer
204642102MedicaidMO
243419306MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000661 MO Practitioner - Family PracticePractitioner - Emergency Medicine 4880757095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health System 385 clinicians

Practice addresses (Care Compare)

1130 E 32ND St
Urgent Care
Joplin, MO 64804-4002
Phone (417) 347-2273

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3206OKMDOptometrist
2002009363MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Sep 6, 2019 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Sep 6, 2019 Accepting new patients
Lincoln County Hospital PastSince Oct 1, 2018 Accepting new patients
Southcrest Emergency Physicians PC Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1130 E 32nd St
Ste F
Joplin, MO 64804
Phone (417) 347-7400

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

Organizations & group practices 16

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.

View all 16

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477560712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S RANGE LINE RD STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043224",
            "telephone_number": "417-623-2207",
            "fax_number": "417-623-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S RANGE LINE RD STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043224",
            "telephone_number": "417-623-2207",
            "fax_number": "417-623-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mercy Way",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044524",
            "country_code": "US",
            "telephone_number": "417-556-2300",
            "fax_number": "417-556-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044034",
            "country_code": "US",
            "telephone_number": "417-347-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JIMMY",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002009363",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002009363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204642102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243419306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.