Individual provider Active NPI

Jefferson Davis Morgan, M.D.

  • Dermatopathology (Pathology) Physician
  • Jupiter, FL
National Provider Identifier
1902074628
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
ME0057323 Issued in FL
Practice address
801 Maplewood Drive
Suite 5
Jupiter, FL 33458-8800
Phone
(561) 575-1788
Fax
(561) 575-1789
NPI assigned
Feb 15, 2008
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X ME0057323 FL Primary
Anatomic Pathology Physician 207ZP0101X ME0057323 FL

Addresses

Primary practice location

801 Maplewood Drive
Suite 5
Jupiter, FL 33458-8800

Mailing address

801 Maplewood Drive
Suite 5
Jupiter, FL 33458-8800
Phone (561) 575-1788

Other identifiers 1

IdentifierTypeStateIssuer
14791XOtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080604000586 FL Practitioner - Pathology 5193895019 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neal M Bullock DPM PAGroup PAC ID 5890972723, 4 clinicians

Practice addresses (Care Compare)

17013 Pines Blvd
Pembroke Pines, FL 33027-1003
Phone (954) 450-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0057323FLMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy C. Runyon, DPM, PA CurrentSince Mar 1, 2022 Accepting new patients
Amberly C Paradoa DPM PA CurrentSince Apr 25, 2019 Accepting new patients
Certified Foot & Ankle Specialists CurrentSince Jun 1, 2015 Accepting new patients
Paul Adam Weiner DPM CurrentSince Jun 1, 2016 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. CurrentSince Mar 1, 2022 Accepting new patients
Onspot-FL CurrentSince Dec 1, 2023 Accepting new patients
Indian River Podiatry, PA CurrentSince Mar 15, 2019 Accepting new patients
Palm Beach Foot & Ankle Inc CurrentSince Mar 1, 2022 Accepting new patients
Integrative Foot and Ankle LLC CurrentSince Aug 1, 2019 Accepting new patients
Adam J Katz DPM PA CurrentSince Mar 9, 2016 Accepting new patients
Palm Beach Foot & Ankle Inc CurrentSince Mar 1, 2022 Accepting new patients
Neal M Bullock DPM PA CurrentSince Mar 1, 2022 Accepting new patients
Certified Foot & Ankle Specialists CurrentSince Jun 1, 2015 Accepting new patients
Bruce J Levine DPM PA CurrentSince Mar 1, 2022 Accepting new patients
Jay Seidel DPM PA Inc CurrentSince Mar 1, 2022 Accepting new patients
Amberly Paradoa DPM PA CurrentSince Apr 25, 2019 Accepting new patients
Mid-Florida Pathology LLC Dermatopathology Past Accepting new patients
Acupath Inc Past Accepting new patients
Dermatology on the Spot, LLC PastSince Sep 21, 2016 Accepting new patients
PCN Health and Wellness, LLC PastSince Aug 9, 2020 Accepting new patients

Locations

6080 W Boynton Beach Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 203-9285

6609 Woolbright Rd
Ste 418
Boynton Beach, FL 33437
Phone (561) 244-4980

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544

15300 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 265-5424

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

11380 Prosperity Farms Rd
Ste 221E
Palm Beach Gardens, FL 33410
Phone (561) 371-1690

17013 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 450-4200

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

1515 US Highway 1
Ste 204
Sebastian, FL 32958
Phone (772) 388-1161

1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794

1880 37th St
Ste 4
Vero Beach, FL 32960
Phone (772) 569-0081

3735 11th Cir
Ste 201
Vero Beach, FL 32960
Phone (772) 299-7009

3281 Fairlane Farms Rd
Ste 7
Wellington, FL 33414
Phone (561) 791-1213

2650 S Military Trl
Ste 9
West Palm Beach, FL 33415
Phone (561) 964-1178

5405 Okeechobee Blvd
Ste 303
West Palm Beach, FL 33417
Phone (561) 293-3439

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1902074628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MAPLEWOOD DRIVE",
            "address_2": "SUITE 5",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588800",
            "telephone_number": "561-575-1788",
            "fax_number": "561-575-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAPLEWOOD DRIVE",
            "address_2": "SUITE 5",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588800",
            "telephone_number": "561-575-1788",
            "fax_number": "561-575-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JEFFERSON",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME0057323",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME0057323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "14791X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.