Individual provider Active NPI

Jacklyn Morgan, PA-C

  • Physician Assistant
  • League City, TX
National Provider Identifier
1740604610
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2220 E League City Pkwy Ste 200
League City, TX 77573-2100
Phone
(281) 523-3110
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

2220 E League City Pkwy Ste 200
League City, TX 77573-2100

Mailing address

2220 E League City Pkwy Ste 200
League City, TX 77573-2100
Phone (281) 523-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612001457 TX Practitioner - Physician Assistant 6305060369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Houston, TX 77030-1502

6445 Main St Opc
Houston, TX 77030-1502

7111 Medical Ctr Dr
Suite 200
Texas City, TX 77591-2667
Phone (281) 333-9747

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Mar 25, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 25, 2024 Accepting new patients

Locations

2220 E League City Pkwy
Ste 200
League City, TX 77573
Phone (281) 523-3110

2220 E League City Pkwy
#200
League City, TX 77573

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

7111 Medical Center Dr
Ste 200
Texas City, TX 77591
Phone (281) 333-9747

Interoperability endpoints

  • Direct secure messaging: jmorgan538320@directhoustonmethodist.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1740604610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E LEAGUE CITY PKWY STE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732100",
            "telephone_number": "281-523-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E LEAGUE CITY PKWY STE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732100",
            "telephone_number": "281-523-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JACKLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.