Kimkeshia Neshell Morgan, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Gilbertown, AL
NPI 1497047971 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1497047971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 1-089677 (AL)
- Practice address
- 140 Front St
Gilbertown, AL 36908-5510 - Phone
- (251) 276-2944
- NPI assigned
- May 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110927000534 | AL | Practitioner - Nurse Practitioner | 5991976730 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R860733 | MS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomasville Regional Medical Associates LLC | Current | Accepting new patients | |
| Healthcare Connections Community Health Services, LLC | Current |
Accepting new patients | |
| Moore Family Health | Past | Accepting new patients | |
| Franklin Primary Health Center, Inc | Past |
Accepting new patients | |
| Franklin Primary Health Center, Inc. | Past |
Accepting new patients |
Locations
914 Riderwood Dr
Butler, AL 36904
Phone (888) 532-1583
300 Med Park Dr
Ste A
Thomasville, AL 36784
Phone (334) 636-1840
300 Med Park Dr
Thomasville, AL 36784
Phone (334) 456-6458
Interoperability endpoints
- kimkeshia.morgan@552337174953988.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-089677 | AL | |
| Adult Health Nurse Practitioner | 363LA2200X | R860733 | MS | |
| Adult Health Nurse Practitioner | 363LA2200X | 1-089677 | AL | Yes |
Addresses
Primary practice location
140 Front St
Gilbertown, AL 36908-5510
Mailing address
140 Front St
Gilbertown, AL 36908-5510
Phone (251) 276-2944
Other practice location 1
2701 Davis St
Meridian, MS 39301-5708
Phone (601) 693-0118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03731501 | Medicaid | MS | |
| 130709 | Medicaid | AL |
Other names
- Ms. Kimkeshia Neshell Smith
Other providers in Gilbertown, AL
- Jessica Koen
- Valerie Long
- Seba Mazumder
- Bailey McIlwain
- Mississippi Homecare of Meridian, LLC
- Sarah Abston Phillips
- Rush Hospital/Butler, Inc
- Nicole Turner
All providers in Gilbertown, AL · Adult Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.