Individual provider Active NPI

Theodore Morgan II, MD

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1861602443
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65711 Issued in GA
Practice address
3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166
Phone
(678) 388-0946
Fax
(844) 452-7877
NPI assigned
May 23, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65711 GA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 65711 GA

Addresses

Primary practice location

3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166

Mailing address

3200 Highlands Pkwy SE
Suite 400
Smyrna, GA 30082-5166
Phone (678) 388-0946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000183 GA Practitioner - Psychiatry 5092984963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foresight Mental Health Group PLLCGroup PAC ID 8426442435, 4 clinicians

Practice addresses (Care Compare)

465 Winn Way
Suite 221
Decatur, GA 30030-1723
Phone (888) 588-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65711GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Group PLLC Psychiatry CurrentSince May 1, 2024 Accepting new patients
View Point Health CurrentSince Aug 6, 2011 Accepting new patients
Rebirth Counseling and Training Center CurrentSince Sep 15, 2022 Accepting new patients

Locations

465 Winn Way
Ste 221
Decatur, GA 30030
Phone (404) 292-3810

3120 S Martin St
Ste 100
East Point, GA 30344
Phone (678) 705-5698

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

3200 Highlands Pkwy SE
Ste 400
Smyrna, GA 30082
Phone (678) 388-0946

Interoperability endpoints

  • Direct secure messaging: theodore.morgan.1@25119.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1861602443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE",
            "address_2": "SUITE 400",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825166",
            "telephone_number": "678-388-0946",
            "fax_number": "844-452-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE",
            "address_2": "SUITE 400",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825166",
            "telephone_number": "678-388-0946",
            "fax_number": "844-452-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "THEODORE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "65711",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "65711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.