Individual provider Active NPI

Carolyn Bridgett Morrison, D.O.

  • Family Medicine Physician
  • Ronceverte, WV
National Provider Identifier
1164697389
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2358 Issued in WV
Practice address
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone
(304) 645-1787
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2358 WV Primary

Addresses

Primary practice location

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Mailing address

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 645-1787

Other identifiers 1

IdentifierTypeStateIssuer
3810018186MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100824000194 WV Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 6800910126 Reassigns benefits to 5 organizations
I20260227004202 VA Practitioner - Family Practice 6800910126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingleside Emergency Group LLCGroup PAC ID 1355698317, 29 clinicians
Summers County Board of HealthGroup PAC ID 2668636275, shared by 2 NPIs, 4 clinicians
Greenbrier County Board of HealthGroup PAC ID 9032293378, 2 clinicians

Practice addresses (Care Compare)

1 Arh LN
Low Moor, VA 24457-5702
Phone (540) 862-6011

151 Pleasant St
Hinton, WV 25951-2540
Phone (304) 466-3388

9109 Seneca TRL S
Ronceverte, WV 24970-1791
Phone (304) 645-1787

Hospital & facility affiliations

  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2358WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Apr 15, 2021 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 15, 2021 Accepting new patients
Summers County Board of Health CurrentSince Oct 24, 2025 Accepting new patients
Greenbrier County Board of Health CurrentSince Jan 27, 2018 Accepting new patients
Ingleside Emergency Group, LLC CurrentSince Dec 27, 2025 Accepting new patients
Summers Emergency Physicians LLC CurrentSince Jul 9, 2010 Accepting new patients
Summers County Board of Health CurrentSince Oct 24, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients

Locations

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

151 Pleasant St
Hinton, WV 25951
Phone (304) 466-3388

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

1500 Terrace St
Hinton, WV 25951
Phone (304) 466-1660

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

9109 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 645-1787

Organizations & group practices 8

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 3

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1164697389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-645-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-645-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "CAROLYN",
        "middle_name": "BRIDGETT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018186",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

Verify at the official NPI Registry.