Individual provider Active NPI

Morgan N Warthan, PA

  • Medical Physician Assistant
  • Travelers Rest, SC
National Provider Identifier
1659896264
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2969 Issued in SC
Practice address
Gateway Family Medicine
406 N Poinsett Hwy
Travelers Rest, SC 29690-1667
Phone
(864) 834-4151
Fax
(877) 599-2593
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 228543 NC
Medical Physician Assistant 363AM0700X 2969 SC Primary

Addresses

Primary practice location

Gateway Family Medicine
406 N Poinsett Hwy
Travelers Rest, SC 29690-1667

Mailing address

11448 Abernathy Rd
Charlotte, NC 28216-9742

Other practice location 1

115 N Gardner Ave
Charlotte, NC 28216-5206
Phone (757) 817-2351

Other identifiers 1

IdentifierTypeStateIssuer
3679PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
228543NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: morgan.warthan.1@27775.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1659896264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11448 ABERNATHY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GATEWAY FAMILY MEDICINE",
            "address_2": "406 N POINSETT HWY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901667",
            "telephone_number": "864-834-4151",
            "fax_number": "877-599-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Gardner Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282165206",
            "country_code": "US",
            "telephone_number": "757-817-2351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARTHAN",
        "first_name": "MORGAN",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "228543",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.