Individual provider Active NPI

Casey George Morris, DC

  • Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1174601173
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8378 Issued in FL
Practice address
333 5TH Avenue N
Jacksonville Beach, FL 32250-5611
Phone
(904) 241-7907
Fax
(904) 241-1401
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8378 FL Primary

Addresses

Primary practice location

333 5TH Avenue N
Jacksonville Beach, FL 32250-5611

Mailing address

333 5TH Avenue N
Jacksonville Beach, FL 32250-5611
Phone (904) 241-7907

Other identifiers 1

IdentifierTypeStateIssuer
34769OtherFLBCBS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000373 FL Practitioner - Chiropractic 7012174121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John a Morris DC PAGroup PAC ID 3870750979, 2 clinicians

Practice addresses (Care Compare)

333 5TH N Ave
Jacksonville Beach, FL 32250-5611
Phone (904) 241-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8378FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John a Morris DC PA Chiropractor CurrentSince May 10, 2002 Accepting new patients
Performance Physical Medicine and Rehab PastSince May 10, 2002 Accepting new patients

Locations

333 5th Ave N
Jacksonville Beach, FL 32250
Phone (904) 241-7907

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1174601173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 5TH AVENUE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505611",
            "telephone_number": "904-241-7907",
            "fax_number": "904-241-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 5TH AVENUE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505611",
            "telephone_number": "904-241-7907",
            "fax_number": "904-241-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CASEY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "34769",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.