Active NPI
Morris Medical Services PA
- Family Medicine Physician
- Pearl, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Brannon Morris, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376643486 | Other | MS | OTHER PROVIDER NPI |
| 1386209500 | Other | MS | PROVIDER NPI |
Other names 1
- Morris Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2265541 | Morris Family Medicine | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Pearl, MS
- NPI 1386209500
-
- Family Medicine Physician
- Brandon, MS
- NPI 1376643486
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.