Individual provider Active NPI

Joseph Morgan

  • Medical Physician Assistant
  • Hawthorne, FL
National Provider Identifier
1982229100
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113384 Issued in FL
Practice address
21815 SE 71St Ave
Hawthorne, FL 32640-3974
Phone
(352) 481-5700
NPI assigned
Jun 12, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9113384 FL Primary

Addresses

Primary practice location

21815 SE 71St Ave
Hawthorne, FL 32640-3974

Mailing address

PO Box 100176
Gainesville, FL 32610-0176

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818001680 FL Practitioner - Physician Assistant 0042636375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1675 Eagle Harbor Pkwy
Fleming Island, FL 32003-4802
Phone (904) 644-0092

905 Beach Blvd
Jacksonville, FL 32250-4303
Phone (904) 493-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40
Cost
81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113384FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Cardiovascular Institute LLC CurrentSince Feb 9, 2023 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Past Accepting new patients

Locations

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

Organizations & group practices 4

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1982229100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100176",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21815 SE 71ST AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403974",
            "telephone_number": "352-481-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, FL

Sources for this page

Verify at the official NPI Registry.