Organization Active NPI

Robert L. Morgan, M.D., P.C.

  • Primary Care Clinic/Center
  • Sparta, GA
National Provider Identifier
1821249970
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
031639 Issued in GA
Legal business name
ROBERT L. MORGAN, M.D., P.C.
Practice address
432 Boland St
P O Box C
Sparta, GA 31087-2041
Phone
(706) 444-7917
Fax
(706) 444-0420
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Robert L. Morgan, M.D.
Title
President
Phone
(706) 444-7917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 031639 GA Primary

Addresses

Primary practice location

432 Boland St
P O Box C
Sparta, GA 31087-2041

Mailing address

432 Boland St
P O Box C
Sparta, GA 31087-2041
Phone (706) 444-7917

Other identifiers 1

IdentifierTypeStateIssuer
000443737AMedicaidGA

National Provider Directory

National Provider Directory

Locations

432 Boland St
Sparta, GA 31087
Phone (706) 444-7917

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1821249970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BOLAND ST",
            "address_2": "P O BOX C",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310872041",
            "telephone_number": "706-444-7917",
            "fax_number": "706-444-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BOLAND ST",
            "address_2": "P O BOX C",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310872041",
            "telephone_number": "706-444-7917",
            "fax_number": "706-444-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. MORGAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-444-7917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "031639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000443737A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.