Individual provider Active NPI

Angela Allen Morris, FNP

  • Family Nurse Practitioner
  • Kingstree, SC
National Provider Identifier
1124341631
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4106 Issued in SC
Practice address
500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143
Phone
(843) 355-1774
Fax
(843) 355-1775
NPI assigned
Mar 11, 2010
Last updated
Jun 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4106 SC Primary

Addresses

Primary practice location

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143

Mailing address

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143
Phone (843) 355-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001099 SC Practitioner - Nurse Practitioner 6800083411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4106SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority Current Accepting new patients
Medical University Hospital Authority CurrentSince Nov 15, 2022 Accepting new patients
Medical University Hospital Authority CurrentSince Nov 15, 2022 Accepting new patients

Locations

500 Thurgood Marshall Hwy
Ste F
Kingstree, SC 29556
Phone (843) 355-7461

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1124341631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE F",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-1774",
            "fax_number": "843-355-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE F",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564143",
            "telephone_number": "843-355-1774",
            "fax_number": "843-355-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ANGELA",
        "middle_name": "ALLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

Verify at the official NPI Registry.