Individual provider Active NPI

Walie Logan Morris, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Florence, AL
National Provider Identifier
1053959296
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1648 Issued in AL
Practice address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone
(256) 718-3200
Fax
(256) 246-3297
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1648 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 718-3200

Other practice location 1

104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2100
Phone (256) 718-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200709001841 AL Practitioner - Physician Assistant 5890118897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Bone and Joint Clinic P CGroup PAC ID 6901881879, 18 clinicians

Practice addresses (Care Compare)

104 Physicians Dr
Suite C
Muscle Shoals, AL 35661-2100
Phone (256) 246-3490

1751 Veterans Dr
Suite 300
Florence, AL 35630-4930
Phone (256) 718-3200

1910 Veterans Dr
Florence, AL 35630-4933
Phone (256) 718-3200

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Bone & Joint Clinic P C CurrentSince Jun 17, 2020 Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200

104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490

Interoperability endpoints

  • Direct secure messaging: logan.morris@nabjc.emadirect.md

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.

Hospital & facility affiliations 2

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1053959296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Physicians Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612100",
            "country_code": "US",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "WALIE",
        "middle_name": "LOGAN",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.