Organization Active NPI

Diskin G. Morgan MD PC

  • General Practice Physician
  • Douglas, GA
National Provider Identifier
1568625838
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DISKIN G. MORGAN MD PC
Practice address
1020 Ward Street Ext W
Suite D
Douglas, GA 31533-2204
Phone
(912) 384-2000
Fax
(912) 384-2321
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Diskin G Morgan, MD
Title
Owner
Phone
(912) 384-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1020 Ward Street Ext W
Suite D
Douglas, GA 31533-2204

Mailing address

1020 Ward Street Ext W
Suite D
Douglas, GA 31533-2204
Phone (912) 384-2000

Other identifiers 1

IdentifierTypeStateIssuer
000072663BMedicaidGA

National Provider Directory

National Provider Directory

Locations

1020 Ward Street Ext W
Ste D
Douglas, GA 31533
Phone (912) 384-2000

1020 Ward Street Ext W
Douglas, GA 31533
Phone (912) 383-8070

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1568625838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WARD STREET EXT W",
            "address_2": "SUITE D",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332204",
            "telephone_number": "912-384-2000",
            "fax_number": "912-384-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WARD STREET EXT W",
            "address_2": "SUITE D",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332204",
            "telephone_number": "912-384-2000",
            "fax_number": "912-384-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISKIN G. MORGAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DISKIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000072663B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.