Active NPI
Lucile Vandervoort Morris, MD
- Family Medicine Physician
- Vestavia, AL
National Provider Identifier
1124373279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L3498.R
- Practice address
- 4274 Cahaba Heights CT
Suite 130
Vestavia, AL 35243-5712 - Phone
- (205) 977-8484
- Fax
- (205) 977-2173
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L3498.R | AL | Primary |
Addresses
Primary practice location
4274 Cahaba Heights CT
Suite 130
Vestavia, AL 35243-5712
Mailing address
4274 Cahaba Heights CT
Suite 130
Vestavia, AL 35243-5712
Phone (205) 977-8484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159749 | Medicaid | AL | |
| 511-67318 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3498.R | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1124373279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4274 CAHABA HEIGHTS CT",
"address_2": "SUITE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435712",
"telephone_number": "205-977-8484",
"fax_number": "205-977-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4274 CAHABA HEIGHTS CT",
"address_2": "SUITE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435712",
"telephone_number": "205-977-8484",
"fax_number": "205-977-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "LUCILE",
"middle_name": "VANDERVOORT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "L3498.R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159749",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-67318",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.