Active NPI
Ross A Morgan, MD
- Pediatric Surgery Physician
- Myrtle Beach, SC
National Provider Identifier
1730133836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 51855
- Practice address
- 920 Doug White Dr Ste 150
Myrtle Beach, SC 29572-4120 - Phone
- (843) 839-4429
- Fax
- (843) 839-4430
- NPI assigned
- May 22, 2006
- Last updated
- Feb 23, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | ME0057951 | FL | |
| Pediatric Surgery Physician | 2086S0120X | 51855 | SC | Primary |
Addresses
Primary practice location
920 Doug White Dr Ste 150
Myrtle Beach, SC 29572-4120
Mailing address
920 Doug White Dr Ste 150
Myrtle Beach, SC 29572-4120
Phone (843) 839-4429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10688 | Other | FL | BCBS OF FLORIDA |
| 063374700 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0057951 | FL | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- rmorgan72227@direct.peacehealth.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582416000000",
"number": "1730133836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 150",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724120",
"telephone_number": "843-839-4429",
"fax_number": "843-839-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 150",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724120",
"telephone_number": "843-839-4429",
"fax_number": "843-839-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ROSS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2020-02-23",
"certification_date": "2020-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "FL",
"license": "ME0057951",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "SC",
"license": "51855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "10688",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063374700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.