Organization Active NPI

Morris Medical Services PA

  • Family Medicine Physician
  • Pearl, MS
National Provider Identifier
1063149698
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MORRIS MEDICAL SERVICES PA
Practice address
101 Millstone Dr
Pearl, MS 39208-8956
Phone
(601) 806-2158
Fax
(601) 806-2179
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Jacob Brannon Morris, MDNPI 1386209500
Title
Physician/Office Manager
Phone
(601) 806-2158

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

101 Millstone Dr
Pearl, MS 39208-8956

Mailing address

101 Millstone Dr
Pearl, MS 39208-8956
Phone (601) 806-2158

Other identifiers 2

IdentifierTypeStateIssuer
1376643486OtherMSOTHER PROVIDER NPI
1386209500OtherMSPROVIDER NPI

Other names 1

  • Morris Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220906001376 MS Part B Supplier - Clinic/Group Practice 7618351982 Receives reassigned benefits from 2 practitioners
Practice locations: Pearl, MS

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
25D2265541Morris Family Medicine101 Millstone Dr, Pearl, MS 39208Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

101 Millstone Dr
Pearl, MS 39208
Phone (601) 806-2158

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1063149698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILLSTONE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088956",
            "telephone_number": "601-806-2158",
            "fax_number": "601-806-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLSTONE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088956",
            "telephone_number": "601-806-2158",
            "fax_number": "601-806-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS MEDICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "BRANNON",
        "authorized_official_title_or_position": "PHYSICIAN/OFFICE MANAGER",
        "authorized_official_telephone_number": "601-806-2158",
        "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": "OTHER PROVIDER NPI",
            "identifier": "1376643486",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1386209500",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morris Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.