Healthcare Provider Details

I. General information

NPI: 1205775749
Provider Name (Legal Business Name): KATHRYN MORGAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 HIGHWAY 34 E
NEWNAN GA
30265-6423
US

IV. Provider business mailing address

1825 HIGHWAY 34 E
NEWNAN GA
30265-6423
US

V. Phone/Fax

Practice location:
  • Phone: 770-502-2121
  • Fax:
Mailing address:
  • Phone: 770-502-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRNNP309341
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: