Individual provider Active NPI

Jerry Walter Morris, D.O.

  • General Practice Physician
  • N Richlnd HLS, TX
National Provider Identifier
1003881590
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E6536 Issued in TX
Practice address
8955 N Tarrant Pkwy
N Richlnd HLS, TX 76182-8466
Phone
(972) 525-9900
Fax
(469) 333-7988
NPI assigned
Feb 20, 2006
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E6536 TX
Public Health & General Preventive Medicine Physician 2083P0901X E6536 TX
General Practice Physician 208D00000X E6536 TX Primary
Legal Medicine (M.D./D.O.) Physician 209800000X E6536 TX

Addresses

Primary practice location

8955 N Tarrant Pkwy
N Richlnd HLS, TX 76182-8466

Mailing address

PO Box 360541
Pittsburgh, PA 15251-6541
Phone (972) 525-9900

Other practice location 1

1205 S. Whitechapel Blvd
#215
Southlake, TX 76092-0126
Phone (817) 454-0019

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerry.morris.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002062 TX Order and Referring Only - General PracticePractitioner - General Practice 8325041932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E6536TXMDLegal Medicine (M.D./D.O.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenda Pruitt PC Past Accepting new patients
Ingrid Hinojosa, PC Past Accepting new patients
Private House Calls LLC Family Medicine Past Accepting new patients
Jerry W Morris PA Family Medicine PastSince May 11, 2006 Accepting new patients
Professional Imaging, PLLC PastSince Nov 1, 2004 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1003881590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360541",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516541",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 N TARRANT PKWY",
            "city": "N RICHLND HLS",
            "state": "TX",
            "postal_code": "761828466",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 S. Whitechapel Blvd",
            "address_2": "#215",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760920126",
            "country_code": "US",
            "telephone_number": "817-454-0019",
            "fax_number": "817-288-0758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JERRY",
        "middle_name": "WALTER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6536",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "E6536",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E6536",
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "E6536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.morris.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "8955 N Tarrant Pkwy",
            "city": "N Richlnd Hls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761828466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in N Richlnd HLS, TX

Sources for this page

Verify at the official NPI Registry.