Individual provider Active NPI

Walter Smith Morris III, MD

  • Internal Medicine Physician
  • Aberdeen, NC
National Provider Identifier
1124062617
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9300545 Issued in NC
Practice address
180 Magnolia Square CT
Aberdeen, NC 28315-2225
Phone
(910) 695-9000
Fax
(910) 695-9015
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9300545 NC Primary

Addresses

Primary practice location

180 Magnolia Square CT
Aberdeen, NC 28315-2225

Mailing address

180 Magnolia Square CT
Aberdeen, NC 28315-2225
Phone (910) 695-9000

Other identifiers 7

IdentifierTypeStateIssuer
60821OtherNCBC/BS NC PROVIDER#
80156OtherNCMEDCOST PROVIDER#
FH1000225OtherNCFIRSTCAROLINACARE PROV.#
N00541OtherSCSC MEDICAID PROVIDER#
110106123OtherNCPALMETTO GBA PROVIDER#
8960821MedicaidNC
0403885OtherNCEVERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100408000109 NC Practitioner - Internal Medicine 1759464571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

390 SW Broad St
Southern Pines, NC 28387-5407

390 SW Broad St Unit
Suite 1
Southern Pines, NC 28387-5407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.32 of 100Reported as individual
Quality
62.81
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9300545NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter S Morris III MD PLLC CurrentSince Jan 26, 2016 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

390 SW Broad St
Unit A1
Southern Pines, NC 28387

390 SW Broad St
Unit A
Southern Pnes, NC 28387
Phone (910) 639-2583

Interoperability endpoints

  • Direct secure messaging: walter.morris.1@13058.direct.athenahealth.com

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 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1124062617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152225",
            "telephone_number": "910-695-9000",
            "fax_number": "910-695-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152225",
            "telephone_number": "910-695-9000",
            "fax_number": "910-695-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "WALTER",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC PROVIDER#",
            "identifier": "60821",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER#",
            "identifier": "80156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE PROV.#",
            "identifier": "FH1000225",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID PROVIDER#",
            "identifier": "N00541",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA PROVIDER#",
            "identifier": "110106123",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960821",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0403885",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

Verify at the official NPI Registry.