Individual provider Active NPI

Morgan Fallon Vandall, PA

  • Physician Assistant
  • Tarpon Springs, FL
National Provider Identifier
1780423350
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119194 Issued in FL
Practice address
1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone
(727) 934-7638
NPI assigned
May 22, 2024
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 PA9119194 FL Primary

Addresses

Primary practice location

1005 E Boyer St
Tarpon Springs, FL 34689-5501

Mailing address

PO Box 23329
New York, NY 10087-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240913002375 FL Practitioner - Physician Assistant 7113467358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone (727) 934-7638

2044 Trinity Oaks Blvd
Suite 130
Trinity, FL 34655-4405
Phone (727) 375-5961

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC CurrentSince May 26, 2024 Accepting new patients

Locations

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

1005 E Boyer St
Tarpon Springs, FL 34689
Phone (727) 934-7638

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mvandall@aadermaffiliates.emadirect.md

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.

Hospital & facility affiliations 1

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1780423350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E BOYER ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895501",
            "telephone_number": "727-934-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALL",
        "first_name": "MORGAN",
        "middle_name": "FALLON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.