Morgan Mattingly Kelley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22203 Issued in SC

Practice address

3001 Newcastle Loop
Myrtle Beach, SC 29588-4502

Phone

(843) 887-7546

Fax

(854) 588-6246

NPI assigned

Sep 28, 2018

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert S Purvis, MD, LLCGroup PAC ID 7113385659, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

77.59

Improvement activities

40

Cost

79.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkelley@directaddress.net
• Direct secure messaging: mmattingly@directaddress.net

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.

• Robert S Purvis, MD, LLC

  dba Purvis Dermatology

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1154024446
  Medicare reassignment Care Compare group NPD
• Grand Strand Dermatology

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1033160213
  Medicare reassignment NPD
• Charleston Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Goose Creek, SC
  • NPI 1093248288
  NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1790260453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GASPARILLA CIR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295764814",
            "telephone_number": "843-340-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-887-7546",
            "fax_number": "854-588-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY KELLEY",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Masso, PHARMD
• Amy A Mathney, P.T.A.
• Surbhi Mathur
• Mator Therapy Services LLC (Mator Therapy Services)
• Milva Matseva, NP
• Steven A Matzinger, MD PH.D
• Ethan Mauldin, PA-C
• Marvin Michael Maurer, M.D.
• Charles Elliott Maxwell, D.M.D.
• Abby Nichole May

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.