Morgan Wenner Thakore, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

074114 Issued in GA

Practice address

1111 Garredd Blvd
Augusta, GA 30909-6649

Phone

(706) 296-6507

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Morgan Ruth Wenner Former name

Electronic endpoints 2

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

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Improvement Project, IncGroup PAC ID 7315851078, 68 clinicians

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: morgan.thakore@mapbt.eclinicaldirectplus.com

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.

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Neighborhood Improvement Project Inc

  dba Medical Associates Plus

  • Primary Podiatric Medicine Podiatrist
  • Evans, GA
  • NPI 1124984224
  Medicare reassignment Care Compare group
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Harmonie Medical

  • Medical Specialty Clinic/Center
  • Evans, GA
  • NPI 1245563097
  Medicare reassignment
• Au Medical Associates Inc

  dba Augusta University Health West Wheeler

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD
• Neighborhood Improvement Project Inc

  dba MAP @ Evans Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Evans, GA
  • NPI 1740158922
  NPD
• Neighborhood Improvement Project, Inc

  dba Medical Associates Plus

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1700900867
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Dermatology Specialists of Augusta, Inc

  • Dermatology Physician
  • Evans, GA
  • NPI 1558339275
  NPD (past)
• Neighborhood Improvement Project, Inc.

  dba Neighborhood Health Services Center

  • Primary Care Clinic/Center
  • Augusta, GA
  • NPI 1902824618
  NPD (past)

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

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  Care Compare affiliation

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1770875130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "address_2": "STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096751",
            "telephone_number": "706-296-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096649",
            "telephone_number": "706-296-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Georgia Regents University 1120 15th St",
            "address_2": "FH 100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-6231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 Augusta West Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091854",
            "country_code": "US",
            "telephone_number": "706-863-0500",
            "fax_number": "706-855-5062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKORE",
        "first_name": "MORGAN",
        "middle_name": "WENNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "RTP 005639",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "074114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mapbt.com",
            "affiliation": "N",
            "address_1": "1111 Garredd Blvd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mapbt.com",
            "affiliation": "N",
            "address_1": "1111 Garredd Blvd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "WENNER",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Tetreault, RN
• Kenneth Alan Teuton, PHARMD.
• Jaret Thacker
• Pankajkumar Narayanbhai Thakkar, M.D.
• Hetal P Thakore, MD
• Joseph Michael Thames, BCABA
• Hannah Faith Tharp, PA-C
• The Athletic Standard, LLC
• The Center for Change
• The Counselors Suite, LLC

• Dermatology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.