NPIMap

Individual provider Active NPI

Andrea Morgan, M.D.

  • Family Medicine Physician
  • Hickory, MS
National Provider Identifier
1770745630
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21523 Issued in MS
Practice address
18199 Highway 80
Hickory, MS 39332-3452
Phone
(601) 646-5445
Fax
(601) 646-5446
NPI assigned
Jul 1, 2008
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 21523 MS Primary

Addresses

Primary practice location

18199 Highway 80
Hickory, MS 39332-3452

Mailing address

PO Box 220
Hickory, MS 39332-0220
Phone (601) 646-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000232 MS Practitioner - Family Practice 9830362755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18199 Hwy 80
Hickory, MS 39332-3452
Phone (601) 646-5445

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21523MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Family Medical Clinic Inc Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Independent Healthcare Management, Inc. PastSince Aug 15, 2021 Accepting new patients
Hilltop Mississippi Healthcare LLC Past Accepting new patients
101 Kirkland Street Opco LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaNewton, MS, CCN 251541 Hospice Contracted Managing Employee Apr 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1770745630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "HICKORY",
            "state": "MS",
            "postal_code": "393320220",
            "telephone_number": "601-646-5445",
            "fax_number": "601-646-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18199 HIGHWAY 80",
            "city": "HICKORY",
            "state": "MS",
            "postal_code": "393323452",
            "telephone_number": "601-646-5445",
            "fax_number": "601-646-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, MS

Sources for this page

Verify at the official NPI Registry.