Individual provider Active NPI

Benjamin Morrison

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1073977781
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82771 Issued in GA
Practice address
3925 Johns Creek CT Ste a
Suwanee, GA 30024-6618
Phone
(770) 709-6922
Fax
(770) 709-6910
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82771 GA Primary

Addresses

Primary practice location

3925 Johns Creek CT Ste a
Suwanee, GA 30024-6618

Mailing address

2001 W 68TH St
Suite 202
Hialeah, FL 33016-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217004363 GA Practitioner - Family Practice 7012206162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pandya Medical Center IncGroup PAC ID 8022249028, 15 clinicians

Practice addresses (Care Compare)

1078 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-0988
Phone (770) 709-6922

11975 Morris Rd
Suite 210
Alpharetta, GA 30005-4444
Phone (770) 709-6922

5670 Old Winder Hwy
Suite 101
Braselton, GA 30517-1239
Phone (770) 709-6922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82771GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Medical Center, Inc Family Medicine CurrentSince Feb 11, 2020 Accepting new patients

Locations

3970 Dep Bill Cantrell Memorial Rd
Ste 220
Cumming, GA 30040
Phone (678) 984-3151

1078 Lumpkin Campground Rd S
Ste 100
Dawsonville, GA 30534
Phone (706) 265-7414

3925 Johns Creek Ct
Ste A
Suwanee, GA 30024
Phone (678) 474-4742

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: benjamin.morrison.1@8348.direct.athenahealth.com

Organizations & group practices 1

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 7

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1073977781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST",
            "address_2": "SUITE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "770-709-6922",
            "fax_number": "770-709-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.