DR. DALLAS RENARD MORGAN D.P.M. NPI 1639262181

NPI Information

NPI: 1639262181
Provider Name: DR. DALLAS RENARD MORGAN, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
104 PATRIOT WAY
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 922-0448
Get Directions

DR. Dallas Renard Morgan, D.P.M. is a foot surgery podiatrist in Warner Robins, GA. DR. Dallas Renard Morgan, D.P.M. NPI is 1639262181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 PATRIOT WAY
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 922-0448
Fax: (478) 922-7944

The NPI 1639262181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	POD000490	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	48SCCFP	MEDICARE ID-TYPE UNSPECIFIED
2	00294082E	MEDICAID	GEORGIA
3	U22534	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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