Healthcare Provider Details

I. General information

NPI: 1134824634
Provider Name (Legal Business Name): AUSTIN NELS OLIVER MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7910 US HWY 117 S UNIT 120
ROCKY POINT NC
28457-7409
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31193-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-300-4500
  • Fax: 910-675-3030
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMORG-6NR7JY
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025-04051
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: