Organization Active NPI

Morgan Cardiovascular, PC

  • Cardiovascular Disease Physician
  • Corinth, MS
National Provider Identifier
1962423897
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15760 Issued in MS
Legal business name
MORGAN CARDIOVASCULAR, PC
Practice address
3035 Corder Dr
Corinth, MS 38834-6216
Phone
(662) 665-0151
Fax
(662) 665-0158
NPI assigned
Jul 23, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Kerry MorganNPI 1194749150
Title
Physician/Owner
Phone
(662) 665-0151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15760 MS Primary

Addresses

Primary practice location

3035 Corder Dr
Corinth, MS 38834-6216

Mailing address

PO Box 1345
Corinth, MS 38835-1345
Phone (662) 665-0151

Other identifiers 1

IdentifierTypeStateIssuer
09016286MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080808000386 MS Part B Supplier - Clinic/Group Practice 9234203274 Receives reassigned benefits from 2 practitioners
Practice locations: Corinth, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1962423897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388351345",
            "telephone_number": "662-665-0151",
            "fax_number": "662-665-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346216",
            "telephone_number": "662-665-0151",
            "fax_number": "662-665-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN CARDIOVASCULAR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "662-665-0151"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "15760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016286",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.