CARL RANDOLPH III MORGAN – Physician Assistant, NPI 1255752069

CARL RANDOLPH III MORGAN is a healthcare provider. based in Kingsport, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110004384 (VA). The NPI Number for CARL RANDOLPH III MORGAN is 1255752069

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CARL RANDOLPH III MORGAN
NPI
1255752069
Phone
(423) 408-7220
Address
105 W STONE DR
Enumeration Date
20 December 2013
Last Update Date
24 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
8224269972
Group Practice PAC ID
3274570908
Professional Enrollment ID
I20140324000851
Address ID
VA242281810CL4862XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for CARL RANDOLPH III MORGAN

  • 105 W STONE DR

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • 280 VIRGINIA AVE NE

    SUITE 107

    NORTON, VA 242731538

    Phone: (276) 679-5390

    Fax: (276) 679-5395

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140324000851IPhysician AssistantVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes226101$0
J1030Injection, methylprednisolone acetate, 40 mg7844$0
20610Aspiration and/or injection of fluid from large joint5835$0
99214Established patient office or other outpatient visit, 30-39 minutes3732$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274570908View full group profile
NameSpecialtyState
Family PracticeTN
Family PracticeTN
Orthopedic SurgeryTN
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Anesthesiology, Pain ManagementKY
Orthopedic SurgeryTN

Reviews

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Frequently asked questions

Can I verify CARL RANDOLPH III MORGAN with an NPI only?
You can start verification with NPI 1255752069 for CARL RANDOLPH III MORGAN, then check state licensing separately.
Can I rely on CARL RANDOLPH III MORGAN being an active provider?
As of the registry snapshot, CARL RANDOLPH III MORGAN is marked active.
What is CARL RANDOLPH III MORGAN best known for clinically?
Directory data describes CARL RANDOLPH III MORGAN with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for CARL RANDOLPH III MORGAN?
CARL RANDOLPH III MORGAN's geographic hint is Kingsport, Tennessee in our summary view.
Why does CARL RANDOLPH III MORGAN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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