Individual provider Active NPI

Anga-Lee Morgan Tipton, NP

  • Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1497739429
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
102211 Issued in GA
Practice address
4000 Village View Drive
Gainesville, GA 30506
Phone
(678) 450-3000
Fax
(678) 450-1527
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 102211 GA Primary

Addresses

Primary practice location

4000 Village View Drive
Gainesville, GA 30506

Mailing address

4000 Village View Drive
Gainesville, GA 30506
Phone (678) 450-3000

Other identifiers 6

IdentifierTypeStateIssuer
000791579CMedicaidGA
676383OtherGAWELLCARE
000791579EMedicaidGA
01305770OtherGAAMERIGROUP
532605OtherGAWELLCARE
000791579DMedicaidGA

Other names 1

  • Anga-Lee Morgan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000125 GA Practitioner - Nurse Practitioner 4486634854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acts Retirement-Life Communities IncGroup PAC ID 1951212380, 34 clinicians
Acts Signature Community Services IncGroup PAC ID 5092032284, 34 clinicians

Practice addresses (Care Compare)

4000 Village View Dr
Gainesville, GA 30506-4331
Phone (678) 450-3005

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Willowbrooke Court at Lanier Village Estates Nursing home, Gainesville, GA, CCN 115687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102211GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Signature Community Services, Inc. CurrentSince May 21, 2018 Accepting new patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince May 21, 2018 Accepting new patients
Specialty Spine and Pain PC Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: angalee.tipton.p1@direct.actslife.nextgenshare.com
  • Direct secure messaging: anga-lee.tipton@longstreetclinic.gadirect.net

Organizations & group practices 6

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.

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1497739429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 VILLAGE VIEW DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30506",
            "telephone_number": "678-450-3000",
            "fax_number": "678-450-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 VILLAGE VIEW DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30506",
            "telephone_number": "678-450-3000",
            "fax_number": "678-450-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "ANGA-LEE",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "102211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791579C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "676383",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791579E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01305770",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "532605",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791579D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGA-LEE",
            "last_name": "MORGAN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.