Organization Active NPI

Charles a Morgan MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • Apopka, FL
National Provider Identifier
1659466365
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME24104 Issued in FL
Legal business name
CHARLES A MORGAN MD PA
Practice address
380 Semoran Commerce PL # B
Ste 210
Apopka, FL 32703-4654
Phone
(407) 886-9807
Fax
(407) 886-9806
NPI assigned
Oct 4, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Charles Alex Morgan, MDNPI 1952385387
Title
Physician Owner
Phone
(407) 886-9807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME24104 FL Primary

Addresses

Primary practice location

380 Semoran Commerce PL # B
Ste 210
Apopka, FL 32703-4654

Mailing address

PO Box 2555
Apopka, FL 32704-2555
Phone (407) 886-9807

Other identifiers 1

IdentifierTypeStateIssuer
064294100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000426 FL Part B Supplier - Clinic/Group Practice 1951300565 Receives reassigned benefits from 1 practitioner
Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Locations

380 Semoran Commerce Pl
Ste 210
Apopka, FL 32703
Phone (407) 886-9807

380 Semoran Commerce Pl
Ste B210
Apopka, FL 32703
Phone (407) 886-9807

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1659466365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2555",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327042555",
            "telephone_number": "407-886-9807",
            "fax_number": "407-886-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SEMORAN COMMERCE PL # B",
            "address_2": "STE 210",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034654",
            "telephone_number": "407-886-9807",
            "fax_number": "407-886-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A MORGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "407-886-9807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME24104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064294100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.