MEDICARE: DR. BENJAMIN HENRY MORGAN DO

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	207Q00000X	Family Medicine Physician	4022	TN
2	207Q00000X	Family Medicine Physician	0102205258	VA

General Provider Information

NPI Number	:	1861888927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN HENRY MORGAN DO

Provider Business Mailing Address
First Line	:	1021 W OAKLAND AVE STE 310
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-952-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 E VANN RD STE 100
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37743-7202
Country	:	US
Telephone Number	:	423-278-1700
Fax Number	:

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	12/15/2025

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