Active NPI
Jerry Walter Morris, D.O.
- General Practice Physician
- N Richlnd HLS, TX
National Provider Identifier
1003881590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E6536
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260216002062 | TX | Order and Referring Only - General Practice | 8325041932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6536 | TX | MD | Legal Medicine (M.D./D.O.) Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Professional Imaging, PLLC | Past | 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.
-
- Family Medicine Physician
- Southlake, TX
- NPI 1851342547
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1245457522
-
- Family Medicine Physician
- Southlake, TX
- NPI 1629210257
-
- Geriatric Medicine (Family Medicine) Physician
- Humble, TX
- NPI 1902835895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.