Provider Demographics
NPI:1215985700
Name:MORPETH, JAMES F (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:MORPETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:706-494-3008
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:STE C003
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-324-7753
Practice Address - Fax:706-324-7756
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043095207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA04BDCBQOtherMEDICARE PTAN
AL114089Medicaid
GA000870207Medicaid
GA00870207AMedicaid
040015052Medicare ID - Type UnspecifiedRAILROAD MEDICARE
GA669620OtherBLUE CROSS BLUE SHIELD GA
AL060008608OtherBLUE CROSS BLUE SHIELD AL