Active NPI
John Gordon Morrison, M.D.
- Colon & Rectal Surgery Physician
- Charlotte, NC
National Provider Identifier
1023099165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 35444
- Practice address
- 2015 Randolph Rd
Suite 201
Charlotte, NC 28207-1200 - Phone
- (704) 333-1259
- Fax
- (704) 333-0371
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35444 | NC | |
| Colon & Rectal Surgery Physician | 208C00000X | 35444 | NC | Primary |
Addresses
Primary practice location
2015 Randolph Rd
Suite 201
Charlotte, NC 28207-1200
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 333-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8961029 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmorrison34658@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Colon & Rectal Surgery Associates PA | Colon & Rectal Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Surgery | Past | Accepting new patients |
Locations
1718 E 4th St
Ste 307
Charlotte, NC 28204
Phone (704) 333-1259
2015 Randolph Rd
Ste 201
Charlotte, NC 28207
Phone (704) 333-1259
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- jmorrison34658@direct.novanthealth.org
Organizations & group practices 2
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.
-
- Colon & Rectal Surgery Physician
- Charlotte, NC
- NPI 1831155738
-
- Surgery Physician
- Charlotte, NC
- NPI 1083959282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1023099165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-333-1259",
"fax_number": "704-333-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 RANDOLPH RD",
"address_2": "SUITE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071200",
"telephone_number": "704-333-1259",
"fax_number": "704-333-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "JOHN",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "35444",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NC",
"license": "35444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8961029",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmorrison34658@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2015 Randolph Rd",
"address_2": "Suite 201",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.