Individual provider Active NPI

Morgan Threlkeld

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1669133385
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30371 Issued in TN
Practice address
503 Highland Ter
Murfreesboro, TN 37130-2477
Phone
(615) 890-5393
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30371 TN Primary

Addresses

Primary practice location

503 Highland Ter
Murfreesboro, TN 37130-2477

Mailing address

503 Highland Ter Ste D
Murfreesboro, TN 37130-2421

Other identifiers 1

IdentifierTypeStateIssuer
1831269406OtherJAMES W GARNER,JR.

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.eclinicalworks.com

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

State licenses

LicenseStateTypeSpecialty
30371TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1669133385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HIGHLAND TER STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HIGHLAND TER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302477",
            "telephone_number": "615-890-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRELKELD",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W GARNER,JR.",
            "identifier": "1831269406",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eclinicalworks.com",
            "affiliation": "N",
            "address_1": "503 Highland Ter",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371302477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.