The Morgan Family Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE MORGAN FAMILY CLINIC

Practice address

1699 S Colorado St
Greenville, MS 38703-7211

Phone

(662) 390-8992

Fax

(662) 335-7933

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Edith Diann Morgan, CFNP

Title

Nurse Practitioner

Phone

(662) 390-8992

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1780835355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044577",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037211",
            "telephone_number": "662-390-8992",
            "fax_number": "662-335-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MORGAN FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "DIANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-390-8992",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117241",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Children'S Medical Group of Greenville, PLLC
• The Clinic, LLC
• The Downtown Family Clinic, LLC
• The Greenville Clinic
• The Magnolia Day Spa LLC
• Jordan C Thomas, MD
• Serina L Thomas
• Valencia L Thomas
• Allan Hale Thompson, M.D.
• Wyneishia Thornton-Malone

• All providers in Greenville, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.