NPIMap

Organization Active NPI

R Irvin Morgan MD PA Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, TX
National Provider Identifier
1821057506
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES
Practice address
4215 Joe Ramsey Blvd
Greenville, TX 75401
Phone
(903) 455-4051
Fax
(903) 454-1716
NPI assigned
Mar 21, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Linda Y Liston
Title
Administrator
Phone
(936) 564-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

4215 Joe Ramsey Blvd
Greenville, TX 75401

Mailing address

PO Box 1888
Greenville, TX 75403-1888
Phone (903) 455-4051

Other practice location 1

4818 Wellington St Ste 4
Greenville, TX 75402-6010
Phone (903) 455-4051

Other identifiers 1

IdentifierTypeStateIssuer
082094601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cw@pathologyassociatestx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000272 TX Part B Supplier - Clinic/Group Practice 0042288441 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Greenville, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1821057506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031888",
            "telephone_number": "903-455-4051",
            "fax_number": "903-454-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-4051",
            "fax_number": "903-454-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4818 Wellington St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754026010",
            "country_code": "US",
            "telephone_number": "903-455-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-564-6002"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082094601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cw@pathologyassociatestx.com",
            "affiliation": "N",
            "endpointDescription": "Direct Files",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4818 Wellington St Ste 4",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754026010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.