Provider Demographics
NPI:1003809781
Name:MORGAN, STEVEN WESLEY (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:WESLEY
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MIDWAY ST STE 1201
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1706
Mailing Address - Country:US
Mailing Address - Phone:423-764-2165
Mailing Address - Fax:423-217-0779
Practice Address - Street 1:28 MIDWAY ST STE 1201
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1706
Practice Address - Country:US
Practice Address - Phone:423-764-2165
Practice Address - Fax:423-217-0779
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN130852084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6492469900Medicaid
TN3000869Medicaid
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VA010336015Medicaid
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VA007101147Medicaid
KY6492469900Medicaid
TN103I132844Medicare PIN
TN3000869Medicare PIN
TNA96651Medicare UPIN
TN68843Medicaid
VAVVG105B88Medicare PIN
GA130014556Medicare PIN
VAC04525Medicare PIN
TNP00401572Medicare PIN
TN3384233Medicare PIN