Active NPI
MMS Life, LLC
- Family Medicine Physician
- Brewton, AL
National Provider Identifier
1053920264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MMS LIFE, LLC
- Practice address
- 401 Evergreen Ave
Brewton, AL 36426-2066 - Phone
- (251) 286-8234
- NPI assigned
- Jul 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Morgan, MD
- Title
- Physician/Sole Member
- Phone
- (251) 367-5333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
401 Evergreen Ave
Brewton, AL 36426-2066
Mailing address
401 Evergreen Ave
Brewton, AL 36426-2066
Phone (251) 286-8234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932391661 | Other | AL | INDIVIDUAL NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amorgan1906@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201119002361 | AL | Part B Supplier - Clinic/Group Practice | 1456762699 |
Receives reassigned benefits from 2 practitioners Practice locations: Brewton, AL |
National Provider Directory
National Provider DirectoryLocations
401 Evergreen Ave
Ste B
Brewton, AL 36426
Phone (251) 286-8234
401 Evergreen Ave
Brewton, AL 36426
Phone (251) 286-8234
Interoperability endpoints
- https://api.platform.athenahealth.com/23294/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1053920264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 EVERGREEN AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364262066",
"telephone_number": "251-286-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EVERGREEN AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364262066",
"telephone_number": "251-286-8234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMS LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "PHYSICIAN/SOLE MEMBER",
"authorized_official_telephone_number": "251-367-5333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1932391661",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "amorgan1906@yahoo.com",
"affiliation": "N",
"address_1": "401 Evergreen Ave",
"city": "Brewton",
"state": "AL",
"country_code": "US",
"postal_code": "364262066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brewton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.