Individual provider Active NPI

Suzanne Rae Morris

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1043814304
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28560 Issued in TN
Practice address
620 Skyline Dr
Jackson, TN 38301-3923
Phone
(731) 541-5000
NPI assigned
Nov 27, 2020
Last updated
Nov 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28560 TN Primary

Addresses

Primary practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

52 Joseph CV
Jackson, TN 38305-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202001248 TN Practitioner - Nurse Practitioner 0446664460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Clinics PLCGroup PAC ID 5193022994, 14 clinicians

Practice addresses (Care Compare)

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.94 of 100Reported as group
Quality
51.14
Promoting interoperability
96
Improvement activities
40
Cost
78.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28560TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Cardiology PC CurrentSince Jan 1, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 22, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 22, 2021 Accepting new patients
Delta Clinics, PLC CurrentSince Sep 30, 2025 Accepting new patients
Apex Cardiology PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1137 S Dupree Ave
Brownsville, TN 38012
Phone (731) 779-0902

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

350 E Parkview St
Dyersburg, TN 38024
Phone (731) 285-1888

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

327 Summar Dr
Jackson, TN 38301
Phone (731) 325-5678

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: smorris190454@direct.bmhcc.org
  • Direct secure messaging: suzanne.morris.p1@direct.apexcardio.nextgenshare.com

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.

Hospital & facility affiliations 3

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": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1043814304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 JOSEPH CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SUZANNE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.