Organization Active NPI

Pamela D. Morgan

Doing business as South Shore Family Health Center

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1538249651
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
540686 Issued in TX
Legal business name
PAMELA D. MORGAN
Doing business as
South Shore Family Health Center
Practice address
3023 Marina Bay Dr Ste 103
League City, TX 77573-2882
Phone
(281) 538-1003
Fax
(281) 535-2240
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Hiedi Gammage
Title
Office Manager
Phone
(281) 538-1003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 540686 TX Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3023 Marina Bay Dr Ste 103
League City, TX 77573-2882

Mailing address

3023 Marina Bay Dr Ste 103
League City, TX 77573-2882
Phone (281) 538-1003

Other names 1

  • South Shore Family Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1034403South Shore Family Health Center3023 Marina Bay Dr Ste 103, League City, TX 77573Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory

Locations

3023 Marina Bay Dr
Ste 103
League City, TX 77573
Phone (281) 334-5032

100 Enterprise Ave
League City, TX 77573
Phone (281) 334-7771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1538249651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 MARINA BAY DR STE 103",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732882",
            "telephone_number": "281-538-1003",
            "fax_number": "281-535-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 MARINA BAY DR STE 103",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732882",
            "telephone_number": "281-538-1003",
            "fax_number": "281-535-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA D. MORGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "GAMMAGE",
        "authorized_official_first_name": "HIEDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-538-1003"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "540686",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Shore Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.