Active NPI
Caitlin Ann Morris, NP-C
- Family Medicine Physician
- Monroe, GA
National Provider Identifier
1073158754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F05190980
- Practice address
- 521 Great Oaks Dr
Monroe, GA 30655-8211 - Phone
- (770) 267-7093
- Fax
- (770) 267-7361
- NPI assigned
- Nov 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F05190980 | GA | Primary |
Addresses
Primary practice location
521 Great Oaks Dr
Monroe, GA 30655-8211
Mailing address
PO Box 671
Monroe, GA 30655-0671
Phone (770) 267-7093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F05190980 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573948800000",
"number": "1073158754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "MONROE",
"state": "GA",
"postal_code": "306550671",
"telephone_number": "770-267-7093",
"fax_number": "770-267-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 GREAT OAKS DR",
"city": "MONROE",
"state": "GA",
"postal_code": "306558211",
"telephone_number": "770-267-7093",
"fax_number": "770-267-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CAITLIN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-17",
"last_updated": "2019-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "F05190980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.