Active NPI
Morse Clinic of Durham, PC
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1861069080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MORSE CLINIC OF DURHAM, PC
- Practice address
- 4119 Capitol St
Durham, NC 27704-2153 - Phone
- (919) 294-9621
- Fax
- (919) 294-9794
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Michelle Kornegay, LCAS
- Title
- Ceo
- Phone
- (919) 294-9621
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
4119 Capitol St
Durham, NC 27704-2153
Mailing address
4119 Capitol St
Durham, NC 27704-2153
Phone (919) 294-9621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkornegay@morseclinics.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Opioid treatment program
- Medicare-enrolled since Sep 1, 2023
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231027002044 | NC | Part B Supplier - Opioid Treatment Program (Otp) | 3274901145 | Practice locations: Durham, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2240997 | Morse Clinic of Durham, PC | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Psychiatry Physician
- Raleigh, NC
- NPI 1801804968
-
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
- NPI 1134515778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1861069080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 CAPITOL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042153",
"telephone_number": "919-294-9621",
"fax_number": "919-294-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 CAPITOL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042153",
"telephone_number": "919-294-9621",
"fax_number": "919-294-9794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORSE CLINIC OF DURHAM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "KORNEGAY",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-294-9621",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCAS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkornegay@morseclinics.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mkornegay@morseclinics.com",
"address_1": "4119 Capitol St",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277042153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.