JACKIE L MORGAN (NPI# 1790891687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790891687 |
| Entity Type | Individual |
| Full Name | JACKIE L MORGAN |
| Credential | PA C |
| Practice Address |
5562 Cougar Trail Rd Dublin VA 24084-0969 |
| Mailing Address |
Po Box 969 Dublin VA 24084-0969 |
| Practice Telephone | 5406748900 |
| Practice Fax Number | 5406749121 |
| Mailing Telephone | 5406748900 |
| Mailing Fax Number | 5406749121 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110840575 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PHYSICIAN ASST LICENSE # | 0110840575 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205303526 | Jackie Rae Morgan | Peer Specialist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-10-24 |
| 1346738804 | Jackie Nechole Morgan | Nurse Practitioner | 319 Highway 36 Byp S Ste 401, Gatesville, TX 76528-2741 | 2018-04-30 |
| 1841594082 | Jackie J Morgan | Licensed Practical Nurse | 435 Glenwood Rd, Binghamton, NY 13905-1606 | 2011-01-03 |
| Street Address |
5562 COUGAR TRAIL RD |
| City | DUBLIN |
| State | VA |
| Zip Code | 24084-0969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732115 | Randall Gary Samples | Pediatrics | 5562 Cougar Trail Rd, Dublin, VA 24084 | 2006-04-27 |
| 1023062080 | Richard C Gehrz | Pediatrics | 5562 Cougar Trail Rd, Dublin, VA 24084 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609356518 | Pain Management Centers of Southwest Virginia | Physical Medicine & Rehabilitation | 30-31 Town Center Drive, Dublin, VA 24084 | 2018-08-20 |
| 1063902633 | Family Preservation Services Inc | Community/Behavioral Health | 600 Dublap Road, Dublin, VA 24084 | 2018-05-18 |
| 1770719486 | Knotresha Floreth Stewart | Internal Medicine | 28 Town Center Drive, Dublin, VA 24084 | 2009-06-09 |
| 1124299110 | Harvey Dentistry Nrv, PC | Clinic/Center | 4664 Lee Hwy, Dublin, VA 24084 | 2008-03-18 |
| 1427244821 | W Matthew Skewes Md PC | Internal Medicine | 112 Broad St, Dublin, VA 24084 | 2007-09-19 |
| 1588863955 | Charles Eric Berry | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 | 2007-07-16 |
| 1326116120 | Dublin Pharmacy | Pharmacy | 703 Broad St., Dublin, VA 24084 | 2006-12-01 |
| 1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
| 1811008485 | Laura Kay Miear | Occupational Therapist | 5286 Alexander Rd, Heartland Rehabilitation Services, Dublin, VA 24084 | 2006-08-31 |
| 1003920281 | Joseph Charles Holmes Jr. | Dentist | 254 W. Main St., Dublin, VA 24084 | 2006-08-18 |
| Find all providers in zip 24084 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954988 | Lamson Do Nguyen | Physician Assistant | 8611 Beverly Ln, Dublin, CA 94568-1216 | 2020-05-28 |
| 1508407842 | Rachel De Rosa | Physician Assistant | 7269 Golden Pl, Dublin, OH 43017-2463 | 2019-10-07 |
| 1154894210 | Elizabeth Ann Boehme | Physician Assistant | Dublin Family Medicine, 118 Broad St., Dublin, VA 24084-3211 | 2019-01-10 |
| 1710486485 | Ohio Pa Services, LLC | Physician Assistant | 2783 Martin Rd # 212, Dublin, OH 43017-2096 | 2018-02-07 |
| 1437689361 | Jessica Winta | Physician Assistant | 7554 Dublin Blvd, Dublin, CA 94568-4365 | 2017-06-13 |
| 1376081208 | Stephanie Sin Eng | Physician Assistant | 11823 Kilcullin Ct, Dublin, CA 94568-2352 | 2017-02-11 |
| 1902359383 | Ohio Psychiatric Services LLC. | Physician Assistant | 7446 Barrister Dr, Dublin, OH 43016-7019 | 2016-08-02 |
| 1588017362 | Morgan L Hall | Physician Assistant | 100 Medical Dr Ste 200, Dublin, GA 31021-2561 | 2016-07-18 |
| 1649641523 | Chelsea Blanche Hayman | Physician Assistant | 7281 Sawmill Rd Ste 100, Dublin, OH 43016-9021 | 2015-10-17 |
| 1063827194 | Karla Lyn Grimes | Physician Assistant | 4881 Cougar Trail Rd, Dublin, VA 24084-3918 | 2014-06-27 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.