Active NPI
Julie M Morgan, PA-C
- Physician Assistant
- Spencer, WV
National Provider Identifier
1669822011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1991
- Practice address
- 146 Williams Dr
Spencer, WV 25276 - Phone
- (304) 927-8143
- Fax
- (904) 927-8198
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2768 | WV | |
| Physician Assistant | 363A00000X | 1991 | WV | Primary |
Addresses
Primary practice location
146 Williams Dr
Spencer, WV 25276
Mailing address
146 Williams Dr
Spencer, WV 25276
Phone (304) 927-8143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035046000 | Medicaid | WV |
Other names 1
- Ms. Julie M. King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161017001850 | WV | Practitioner - Physician Assistant | 2769770262 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1991 | WV | MD | Speech-Language Pathologist |
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": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1669822011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WILLIAMS DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "25276",
"telephone_number": "304-927-8143",
"fax_number": "904-927-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WILLIAMS DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "25276",
"telephone_number": "304-927-8143",
"fax_number": "904-927-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JULIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "2768",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "1991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035046000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "KING",
"middle_name": "M.",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.