Charles Moran Myers Sr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D-3352 Issued in TX

Practice address

1325 Broadway St
Rockport, TX 78382-3333

Phone

(361) 729-0646

Fax

(361) 729-8854

NPI assigned

Jan 23, 2006

Last updated

Dec 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• The Hospital Authority of Habersham County

  • Rural Acute Care Hospital
  • Demorest, GA
  • NPI 1689736282
  Medicare reassignment NPD
• The Hospital Authority of Habersham County

  dba Habersham Surgical Services

  • Surgery Physician
  • Demorest, GA
  • NPI 1619132990
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1700856945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 HIDDEN LAKE DRIVE",
            "city": "POWDERLY",
            "state": "TX",
            "postal_code": "754733718",
            "telephone_number": "903-732-3840",
            "fax_number": "903-732-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHARLES",
        "middle_name": "MORAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "D3352",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D3352",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "D-3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Milian, MD
• Juaniece Miller, NP
• David Jeremy Mills, DDS
• Michael Moloney, M.D.
• Anne Mourtaja
• Clyde Thomas Newman, MED AND RKT
• Jim Thanh Nguyen, PHARMD
• Thomas Nguyen, M.D.
• Nichole Q Soto OD PC
• Scott Arnold Nickerson

• General Practice Physician in Rockport, TX
• Providers in Rockport, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.

Verify at the official NPI Registry.