Individual provider Active NPI

Morgan McKissack, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1942074661
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN295207 Issued in GA
Practice address
5749 Roaring Branch Rd
Columbus, GA 31904-2833
Phone
(217) 840-9372
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN295207 GA Primary

Addresses

Primary practice location

5749 Roaring Branch Rd
Columbus, GA 31904-2833

Mailing address

5749 Roaring Branch Rd
Columbus, GA 31904
Phone (217) 840-9372

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
I20250114002724 GA Practitioner - Nurse Practitioner 4082142344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN295207GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercymed of Columbus Inc CurrentSince Nov 18, 2024 Accepting new patients
Mercymed of Columbus Inc PastSince Oct 22, 2023 Accepting new patients

Locations

3702 2nd Ave
Columbus, GA 31904
Phone (706) 507-9209

3679 Steam Mill Rd
Columbus, GA 31906
Phone (706) 507-4687

Interoperability endpoints

  • Direct secure messaging: morgan.mckissack.1@8710.direct.athenahealth.com

Organizations & group practices 2

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1942074661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 ROARING BRANCH RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "217-840-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 ROARING BRANCH RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042833",
            "telephone_number": "217-840-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSACK",
        "first_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN295207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.