Healthcare Provider Details

I. General information

NPI: 1831648443
Provider Name (Legal Business Name): MORGANN DIXON PIERCE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGANN DIXON HARNEY PA

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW STE 775
ATLANTA GA
30309-1608
US

IV. Provider business mailing address

PO BOX 628231 MAIL CODE: 5068
ORLANDO FL
32862-8231
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-7100
  • Fax:
Mailing address:
  • Phone: 678-344-8900
  • Fax: 678-666-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8150
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7123
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8150
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8150
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: