Organization Active NPI

MMS Life, LLC

  • Family Medicine Physician
  • Brewton, AL
National Provider Identifier
1053920264
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Aaron Morgan, MDNPI 1932391661
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1932391661OtherALINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amorgan1906@yahoo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201119002361 AL Part B Supplier - Clinic/Group Practice 1456762699 Receives reassigned benefits from 2 practitioners
Practice locations: Brewton, AL

National Provider Directory

National Provider Directory

Locations

401 Evergreen Ave
Ste B
Brewton, AL 36426
Phone (251) 286-8234

401 Evergreen Ave
Brewton, AL 36426
Phone (251) 286-8234

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.