Active NPI
Charles Michael Morley, N.P.
- Adult Health Nurse Practitioner
- Carrollton, GA
National Provider Identifier
1548488216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN114968NP
- Practice address
- 100 Professional PL
Suite 207
Carrollton, GA 30117-3874 - Phone
- (770) 838-8367
- Fax
- (770) 838-8110
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN114968NP | GA | Primary |
Addresses
Primary practice location
100 Professional PL
Suite 207
Carrollton, GA 30117-3874
Mailing address
94 Red Level Walk
Newnan, GA 30265
Phone (404) 547-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN114968NP | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pain and Spine Associates, LLC | Past | Accepting new patients | |
| Pain Consultants of Atlanta LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGACD
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Atlanta, GA
- NPI 1942250865
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1548059835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548488216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 RED LEVEL WALK",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "404-547-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL PL",
"address_2": "SUITE 207",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173874",
"telephone_number": "770-838-8367",
"fax_number": "770-838-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLEY",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN114968NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.