Individual provider Active NPI

Morgan Klokow

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1548035595
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019175 Issued in NC
Practice address
2807 S Homer Blvd
Sanford, NC 27330
Phone
(984) 251-1331
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019175 NC Primary

Addresses

Primary practice location

2807 S Homer Blvd
Sanford, NC 27330

Mailing address

112 Fontana Lake Rd
Aberdeen, NC 28315-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240122001180 NC Practitioner - Nurse Practitioner 0840642286 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (919) 267-0421

106 Jefferson St
Hamlet, NC 28345
Phone (910) 557-9447

Interoperability endpoints

  • Direct secure messaging: mklokow@goshenmedical.cloudcraftdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1548035595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FONTANA LAKE RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 S HOMER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "984-251-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKOW",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.