Organization Active NPI

Glen P Morehead MD PC

  • Hematology & Oncology Physician
  • Griffin, GA
National Provider Identifier
1508977109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
31076 Issued in GA
Legal business name
GLEN P MOREHEAD MD PC
Practice address
230D W College St
Griffin, GA 30224-4121
Phone
(770) 229-6007
Fax
(770) 229-1518
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glen P Morehead, MD
Title
Owner
Phone
(770) 229-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 31076 GA Primary

Addresses

Primary practice location

230D W College St
Griffin, GA 30224-4121

Mailing address

230D W College St
Griffin, GA 30224-4121
Phone (770) 229-6007

Other names 1

  • Spalding Oncology Services Doing business as

National Provider Directory

National Provider Directory

Locations

234 Cherokee Rd
Thomaston, GA 30286
Phone (706) 647-5401

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508977109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230D W COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "770-229-6007",
            "fax_number": "770-229-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230D W COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "770-229-6007",
            "fax_number": "770-229-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN P MOREHEAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-229-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "31076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spalding Oncology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.