Individual provider Active NPI

Jeffrey Morris, DO

  • Dermatology Physician
  • The Villages, FL
National Provider Identifier
1144720640
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS18710 Issued in FL
Practice address
8620 E County Road 466
The Villages, FL 32162-3670
Phone
(305) 284-7761
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X OS18710 FL Primary

Addresses

Primary practice location

8620 E County Road 466
The Villages, FL 32162-3670

Mailing address

5750 SW 163Rd Ave
SW Ranches, FL 33331-1448
Phone (954) 881-5661

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
I20220714001568 FL Practitioner - Dermatology 2769863232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
BLDG 150
The Villages, FL 32162-1762
Phone (352) 399-7295

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as individual
Quality
74.88
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision180
Removal of skin lesions4965
Removal of skin cancer1194
Removal or shaving of skin growth1-10
Skin biopsy2255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18710FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Dermatology PA Dermatology CurrentSince Jun 1, 2022 Accepting new patients
Creekside Dermatology PA Dermatology PastSince Aug 14, 2022 Accepting new patients

Locations

1050 Old Camp Rd
Ste 150
The Villages, FL 32162
Phone (352) 399-7295

8620A E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

8620 E County Road 466
The Villages, FL 32162
Phone (352) 399-7295

340 Heald Way
Ste 216
The Villages, FL 32163
Phone (352) 633-8930

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1144720640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 SW 163RD AVE",
            "city": "SW RANCHES",
            "state": "FL",
            "postal_code": "333311448",
            "telephone_number": "954-881-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 E COUNTY ROAD 466",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623670",
            "telephone_number": "305-284-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEFFREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS18710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.