Organization Active NPI

Theresa T Morrison MD PLLC

  • Family Medicine Physician
  • Fayetteville, TN
National Provider Identifier
1043363492
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THERESA T MORRISON MD PLLC
Practice address
108 Medical Center Blvd Ste 100
Fayetteville, TN 37334-2741
Phone
(931) 433-2229
Fax
(931) 433-2398
NPI assigned
Jan 19, 2007
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Theresa T Morrison, MDNPI 1760426704
Title
Owner
Phone
(931) 433-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

108 Medical Center Blvd Ste 100
Fayetteville, TN 37334-2741

Mailing address

PO Box 1077
Fayetteville, TN 37334-1077
Phone (931) 433-2229

Other names 1

  • Stonebridge Medical Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040925000073 TN Part B Supplier - Clinic/Group Practice 6204805450 Receives reassigned benefits from 5 practitioners
Practice locations: Fayetteville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0857681Theresa T Morrison MD108 Medical Center Blvd, Suite 100, Fayetteville, TN 37334Provider-performed microscopyJun 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1043363492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373341077",
            "telephone_number": "931-433-2229",
            "fax_number": "931-433-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD STE 100",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-433-2229",
            "fax_number": "931-433-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA T MORRISON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-433-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.