Individual provider Active NPI

Morgan Edstrom

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1497468524
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13565 Issued in NC
Practice address
4620 Woody Mill Rd Ste G
Greensboro, NC 27406-8779
Phone
(336) 907-3907
Fax
(336) 907-3910
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0010-13565 NC Primary

Addresses

Primary practice location

4620 Woody Mill Rd Ste G
Greensboro, NC 27406-8779

Mailing address

104 Shore Lake Dr Apt F
Greensboro, NC 27455-1475
Phone (719) 232-6524

Other practice location 1

802 Green Valley Rd Ste 200
Greensboro, NC 27408-7099
Phone (336) 389-9898

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medstrom703606@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214001387 NC Practitioner - Physician Assistant 8224487384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

520 N Elam Ave
Greensboro, NC 27403-1127

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13565NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Mar 10, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Mar 10, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 1, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

4620 Woody Mill Rd
Ste G
Greensboro, NC 27406
Phone (336) 907-3907

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

802 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 370-0277

Interoperability endpoints

  • Direct secure messaging: medstrom703606@direct.conehealth.com

Organizations & group practices 5

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1497468524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SHORE LAKE DR APT F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551475",
            "telephone_number": "719-232-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 WOODY MILL RD STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068779",
            "telephone_number": "336-907-3907",
            "fax_number": "336-907-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Green Valley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087099",
            "country_code": "US",
            "telephone_number": "336-389-9898",
            "fax_number": "336-275-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDSTROM",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medstrom703606@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "802 Green Valley Rd Ste 200",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.