Terry Lee Morgan, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003405 Issued in GA

Practice address

1111 20TH St E
Tifton, GA 31794-3689

Phone

(229) 382-9338

Fax

(229) 382-4282

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.morgan@sgm.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tifton Endoscopy Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Tifton, GA
  • NPI 1063512945
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1508930082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD COFFEE RD",
            "city": "WRAY",
            "state": "GA",
            "postal_code": "317983801",
            "telephone_number": "229-382-9338",
            "fax_number": "229-382-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 20TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943689",
            "telephone_number": "229-382-9338",
            "fax_number": "229-382-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000332A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Moorman, FNP-C
• Casey Moran, DPT
• Emilee Marie Morehead, PHARMD
• Raymond G Moreno, M.D.
• Sandra Moretz, MNT
• Marlee Morris, NP
• James E. Mossell III, D.O.
• Alfred Mott, D.M.D., P.C.
• Mrs Homecare, Inc. (Mrs of Tifton)
• Sitarama Arvind Varma Mudunuru, MD

• Medical Physician Assistant in Tifton, GA
• Providers in Tifton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.