Walter S Morris III MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9300545 Issued in NC

Legal business name

WALTER S MORRIS III MD PLLC

Practice address

390 SW Broad St
Unit a
Southern Pines, NC 28387-5407

Phone

(910) 639-2583

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Walter Smith Morris III, MDNPI 1124062617

Title

Member/Manager

Phone

(910) 639-2583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Smith Morris III, MD

  • Internal Medicine Physician
  • Aberdeen, NC
  • NPI 1124062617
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1174998041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SW BROAD ST",
            "address_2": "UNIT A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SW BROAD ST",
            "address_2": "UNIT A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875407",
            "telephone_number": "910-639-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER S MORRIS III MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "910-639-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9300545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Walgreen Co (Rite Aid)
• Susan Cook Walker, PTA
• Kathleen Michelle Wallace
• Molly McCarthy Walsh, M.D.
• Kendall Whitfield Wannamaker Jr., M.D.
• Terry Theo Warner, M.S.
• Grace Warren
• Helga Wartena
• Elizabeth M Watson, PMH-NP

• Primary Care Clinic/Center in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.