Provider Demographics
NPI:1366477630
Name:MORGAN, CARA MONETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:MONETTE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:MONETTE
Other - Last Name:MORGAN-DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10051 5TH ST N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2289
Mailing Address - Country:US
Mailing Address - Phone:678-916-3600
Mailing Address - Fax:678-916-3611
Practice Address - Street 1:315 BOULEVARD NE
Practice Address - Street 2:SUITE 516
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1200
Practice Address - Country:US
Practice Address - Phone:404-265-1235
Practice Address - Fax:404-265-1217
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023787207Q00000X
GA68833207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1696447Medicaid
LAG83679Medicare UPIN
LA5E136Medicare PIN