Individual provider Active NPI

Eugene Brannon Morris III, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Athens, GA
National Provider Identifier
1124024849
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
63922 Issued in GA
Practice address
1086 1/2 Baxter St
Athens, GA 30606-6316
Phone
(706) 353-0606
Fax
(706) 353-0798
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38252 TN
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 63922 GA Primary

Addresses

Primary practice location

1086 1/2 Baxter St
Athens, GA 30606-6316

Mailing address

1086 1/2 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606

Other identifiers 13

IdentifierTypeStateIssuer
010210712MedicaidVA
0149583MedicaidMT
200520170AMedicaidIN
422400000MedicaidME
1628883MedicaidLA
158894001MedicaidAR
5440557MedicaidTN
009998455MedicaidAL
03058877MedicaidMS
176786501MedicaidTX
207281007MedicaidMO
200056700AMedicaidOK
64100639MedicaidKY

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
I20100720000431 GA Practitioner - Neurology 5395877823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Neurological Associates, P.CGroup PAC ID 8426039645, 6 clinicians

Practice addresses (Care Compare)

1088 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38252TNMDPediatrics Physician
63922GAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Apr 2, 2012 Accepting new patients
Athens Neurological Associates, P.C CurrentSince May 1, 2010 Accepting new patients

Locations

1086 Baxter St
Athens, GA 30606
Phone (706) 353-0606

1088 Baxter St
Athens, GA 30606
Phone (706) 353-0606

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1000 Cowles Clinic Way
Ste A-100
Greensboro, GA 30642
Phone (678) 625-5132

Interoperability endpoints

  • Direct secure messaging: emorris@athensneuro.gwaydirect.com

Organizations & group practices 3

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 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1124024849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 1/2 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "706-353-0606",
            "fax_number": "706-353-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "706-353-0606",
            "fax_number": "706-353-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "EUGENE",
        "middle_name": "BRANNON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "38252",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
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            "license": "63922",
            "primary": true
        }
    ],
    "identifiers": [
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            "identifier": "158894001",
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            "issuer": null,
            "identifier": "5440557",
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998455",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
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            "issuer": null,
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            "code": "05",
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            "issuer": null,
            "identifier": "207281007",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "200056700A",
            "state": "OK"
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        {
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            "issuer": null,
            "identifier": "64100639",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.