Individual provider Active NPI

Gary McMorris, MD

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1013065580
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048539 Issued in GA
Practice address
950 River Centre PL
Lawrenceville, GA 30043-7320
Phone
(770) 682-1717
Fax
(770) 682-1723
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048539 GA Primary

Addresses

Primary practice location

950 River Centre PL
Lawrenceville, GA 30043-7320

Mailing address

950 River Centre PL
Lawrenceville, GA 30043-7320
Phone (770) 682-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050712000343 GA Practitioner - Internal Medicine 2062448004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 River Centre PL
Lawrenceville, GA 30043-7320
Phone (770) 682-1717

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048539GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett General Medicine Internal Medicine CurrentSince Dec 11, 2012 Accepting new patients

Locations

250 Scenic Hwy
Lawrenceville, GA 30046
Phone (678) 442-5800

1180 McKendree Church Rd
Ste 204
Lawrenceville, GA 30043
Phone (770) 682-1717

950 River Centre Pl
Lawrenceville, GA 30043
Phone (770) 682-1717

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013065580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 RIVER CENTRE PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437320",
            "telephone_number": "770-682-1717",
            "fax_number": "770-682-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 RIVER CENTRE PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437320",
            "telephone_number": "770-682-1717",
            "fax_number": "770-682-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORRIS",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.