Individual provider Active NPI

Morgan McPherson Ennis, NP

  • Primary Care Nurse Practitioner
  • Macon, GA
National Provider Identifier
1932843158
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN227787 Issued in GA
Practice address
1760 Bass Rd Ste 200a
Macon, GA 31210-1061
Phone
(478) 309-1212
Fax
(866) 493-2791
NPI assigned
Apr 25, 2022
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN227787 GA Primary

Addresses

Primary practice location

1760 Bass Rd Ste 200a
Macon, GA 31210-1061

Mailing address

1760 Bass Rd Ste 200a
Macon, GA 31210-1061
Phone (478) 309-1212

Other identifiers 2

IdentifierTypeStateIssuer
RN227787OtherGARN LICENSE #
AG02220162OtherGAAANP CERTIFICATION #

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001882 GA Practitioner - Nurse Practitioner 4082095989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell G Oneal MD, LLCGroup PAC ID 3678512399, 2 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1760 Bass Rd
Suite 200a
Macon, GA 31210-1061
Phone (478) 309-1212

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN227787GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russell G. O'Neal, M.D., L.L.C. CurrentSince Jan 1, 2024 Accepting new patients
Maxa Internal Medicine Associates PC PastSince May 1, 2022 Accepting new patients

Locations

1760 Bass Rd
Ste 200A
Macon, GA 31210
Phone (478) 309-1212

330 Hospital Dr
Ste 304
Macon, GA 31217
Phone (478) 742-1010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCFDDD/Endpoint/JCFDDD
  • Direct secure messaging: morgan.ennis@rgo.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1932843158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-309-1212",
            "fax_number": "866-493-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-309-1212",
            "fax_number": "866-493-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "MORGAN",
        "middle_name": "MCPHERSON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN227787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE #",
            "identifier": "RN227787",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION #",
            "identifier": "AG02220162",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.