MEDICARE: DR. MORGAN AMELIA MCCORMICK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	01075706A	IN
2	208M00000X	Hospitalist Physician	01075706A	IN

General Provider Information

NPI Number	:	1487067286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORGAN AMELIA MCCORMICK M.D.

Provider Business Mailing Address
First Line	:	563 W WESTFIELD BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5689
Country	:	US
Telephone Number	:	317-449-5631
Fax Number	:

Provider Business Practice Location Address
First Line	:	563 W WESTFIELD BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208
Country	:	US
Telephone Number	:	317-449-5631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	04/13/2026

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