Individual provider Active NPI

Fabian Victor Morales, M.D.

  • Sports Medicine (Emergency Medicine) Physician
  • South Miami, FL
National Provider Identifier
1477785145
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
98244 Issued in GA
Practice address
5966 S Dixie Hwy Ste 401
South Miami, FL 33143-5177
Phone
(786) 453-2667
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 98244 GA Primary
Emergency Medicine Physician 207P00000X 98244 GA
Sports Medicine (Emergency Medicine) Physician 207PS0010X 25MA08828600 NJ
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X ME120474 FL
Sports Medicine (Emergency Medicine) Physician 207PS0010X 254381-1 NY

Addresses

Primary practice location

5966 S Dixie Hwy Ste 401
South Miami, FL 33143-5177

Mailing address

5966 S Dixie Hwy Ste 401
South Miami, FL 33143-5177
Phone (786) 453-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250123002541 GA Practitioner - Internal Medicine 6305985458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

10945 State Bridge Rd
Suite 501
Alpharetta, GA 30022-8163
Phone (404) 996-0194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254381-1NYMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jan 3, 2025 Accepting new patients
Emergency Physician Solutions of South Florida, LLC PastSince Mar 1, 2020 Accepting new patients
Pro Form Sports Medicine and Wellness Associates Sports Medicine PastSince Apr 7, 2011 Accepting new patients
Franklin Hospital Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

10945 State Bridge Rd
Ste 501
Johns Creek, GA 30022
Phone (404) 996-0194

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

Organizations & group practices 4

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1477785145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 S DIXIE HWY STE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435177",
            "telephone_number": "786-453-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 S DIXIE HWY STE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435177",
            "telephone_number": "786-453-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "FABIAN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "GA",
            "license": "98244",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "98244",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA08828600",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME120474",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NY",
            "license": "254381-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.