Individual provider Active NPI

Jillian Monica Morrison

  • Plastic Surgery Physician
  • Ormond Beach, FL
National Provider Identifier
1114293412
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME135439 Issued in FL
Practice address
802 Sterthaus Dr Ste C
Ormond Beach, FL 32174
Phone
(407) 299-7333
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME135439 FL Primary

Addresses

Primary practice location

802 Sterthaus Dr Ste C
Ormond Beach, FL 32174

Mailing address

231 Albert Sabin Way
(ML 0558)
Cincinnati, OH 45267-0558
Phone (513) 558-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181231000750 FL Practitioner - Plastic and Reconstructive Surgery 0840430666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Dermatology Associates P.a.Group PAC ID 1254233786, 48 clinicians

Practice addresses (Care Compare)

802 Sterthaus Dr
Suite C
Ormond Beach, FL 32174-5117
Phone (407) 299-7333

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy37
Melanoma (skin cancer) excision576
Removal of skin lesions86
Removal or shaving of skin growth1-10
Skin biopsy86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Single Specialty CurrentSince Sep 9, 2018 Accepting new patients
Adventhealth Surgery Center Daytona Beach, LLC PastSince Dec 5, 2023 Accepting new patients

Locations

519 N Dixie Fwy
New Smyrna Beach, FL 32168

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

802 Sterthaus Dr
Ste C
Ormond Beach, FL 32174
Phone (386) 671-6333

800 Sterthaus Dr
#B
Ormond Beach, FL 32174
Phone (386) 615-3838

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 3

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1114293412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY",
            "address_2": "(ML 0558)",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670558",
            "telephone_number": "513-558-4363",
            "fax_number": "513-558-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 STERTHAUS DR STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JILLIAN",
        "middle_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME135439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.