Forma Medical Aesthetics
NPI 1114511821ActiveOrganization· Internal Medicine· Roswell, GA
Internal Medicine in Roswell, Georgia, registered in NPPES in February 2021. The authorized official on file is Clarence Elbert Morgan, MD, Medical Director.
Overview
| NPI | 1114511821 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2021 |
| Last updated in NPPES | Feb 23, 2021 |
| Certified by provider | Feb 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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