Provider Demographics
NPI:1831648443
Name:PIERCE, MORGANN DIXON (PA)
Entity type:Individual
Prefix:
First Name:MORGANN
Middle Name:DIXON
Last Name:PIERCE
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:MORGANN
Other - Middle Name:DIXON
Other - Last Name:HARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 628231 MAIL CODE: 5068
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32862-8231
Mailing Address - Country:US
Mailing Address - Phone:678-344-8900
Mailing Address - Fax:678-666-5201
Practice Address - Street 1:35 COLLIER RD NW STE 775
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1608
Practice Address - Country:US
Practice Address - Phone:404-605-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8150208600000X, 363A00000X, 207R00000X
GA7123363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant