Organization Active NPI

Decatur Morgan Wound Care Center

  • Clinic/Center
  • Decatur, AL
National Provider Identifier
1851057095
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DECATUR MORGAN WOUND CARE CENTER
Practice address
1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone
(256) 973-6672
Fax
(256) 973-6673
NPI assigned
Nov 11, 2021
Organization subpart
Yes
Parent organization
HH HEALTH SYSTEM - MORGAN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Kelli S Powers
Title
Ceo
Phone
(256) 973-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1874 Beltline Rd SW
Decatur, AL 35601-5514

Mailing address

1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone (256) 973-6672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309001207 AL Part B Supplier - Clinic/Group Practice 6901291996 Receives reassigned benefits from 3 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory
Part of
HH Health System - Morgan LLC

Practitioners & affiliated clinicians

Practitioners 3

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1851057095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-973-6672",
            "fax_number": "256-973-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-973-6672",
            "fax_number": "256-973-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MORGAN WOUND CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM - MORGAN, LLC",
        "enumeration_date": "2021-11-11",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-973-3535"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.