Provider Demographics
NPI:1194908046
Name:MORTON, AARON ROBERT (ATC, LAT, EMT-B, PAC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:ROBERT
Last Name:MORTON
Suffix:
Gender:M
Credentials:ATC, LAT, EMT-B, PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMORY MIDTOWN- DAVIS FISCHER BUILDING 3RD FLOOR, ROOM 3
Mailing Address - Street 2:550 PEACHTREE STREET, N.E.
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:404-686-7858
Mailing Address - Fax:404-686-7841
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-3841
Practice Address - Country:US
Practice Address - Phone:404-686-7858
Practice Address - Fax:404-686-7841
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL23922255A2300X
IN10001376A363A00000X
KYTC362363A00000X
GA8539363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400062619Medicare PIN
INP01141618Medicare PIN
KYK189770Medicare PIN