Individual provider Active NPI

Thomas Jackson Morgan Jr., D. C.

  • Sports Physician Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1508979915
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104001216 Issued in VA
Practice address
4807 Shore Dr
Virginia Beach, VA 23455-2714
Phone
(757) 498-8455
Fax
(757) 463-5764
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104001216 VA Primary

Addresses

Primary practice location

4807 Shore Dr
Virginia Beach, VA 23455-2714

Mailing address

4837 Shore Dr
Virginia Beach, VA 23455-2714
Phone (757) 222-9462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000895 VA Practitioner - Chiropractic 6406015502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4837 Shore Dr
Virginia Beach, VA 23455-2714
Phone (757) 498-8455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001216VAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Chiropractic P C Sports Physician CurrentSince Aug 27, 1998 Accepting new patients

Locations

4807 Shore Dr
#A
Virginia Beach, VA 23455
Phone (757) 498-8455

4807 Shore Dr
Virginia Beach, VA 23455
Phone (757) 498-8455

4837 Shore Dr
Virginia Beach, VA 23455
Phone (757) 498-8455

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1508979915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552714",
            "telephone_number": "757-222-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552714",
            "telephone_number": "757-498-8455",
            "fax_number": "757-463-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "THOMAS",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104001216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.