John McMillan Morykon

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03707 Issued in NC

Practice address

308 Dolphin Dr
Jacksonville, NC 28546-5266

Phone

(910) 346-2273

Fax

(910) 346-1907

NPI assigned

Feb 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Masonboro Urgent Care, PCGroup PAC ID 9638206287, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: john.morykon.1@10154.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Masonboro Urgent Care, PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1427389865
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1902179559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465266",
            "telephone_number": "910-346-2273",
            "fax_number": "910-346-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465266",
            "telephone_number": "910-346-2273",
            "fax_number": "910-346-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORYKON",
        "first_name": "JOHN",
        "middle_name": "MCMILLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Morrison, MS, MS
• Nailah Morrison, LCSWA
• Morrow-Bradley & Associates, PLLC
• Cheryl Ann Morrow-Bradley, PH.D
• Michael D Mortazavi
• Motion Sports Massage LLC
• Randi Kate Moulton, RBT
• Mount Carmel Helps Home Care LLC
• Benjamin Arthur Mowell
• Allison Mowles

• Physician Assistant in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.