NPIMap

Individual provider Active NPI

Lenox Kyle Morris, M.D.

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1215010707
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
033157 Issued in GA
Practice address
521 Great Oaks Drive
Monroe, GA 30655
Phone
(770) 267-7093
Fax
(770) 267-7361
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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 033157 GA Primary

Addresses

Primary practice location

521 Great Oaks Drive
Monroe, GA 30655

Mailing address

PO Box 671
Monroe, GA 30655-0671
Phone (770) 267-7093

Other identifiers 1

IdentifierTypeStateIssuer
00431824CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000007 GA Practitioner - Family Practice 5294754289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walton Family Medicine, P.C.Group PAC ID 4385632314, 4 clinicians

Practice addresses (Care Compare)

521 Great Oaks Dr
Monroe, GA 30655-8211
Phone (770) 267-7093

Hospital & facility affiliations

  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • St. Mary'S Home Health Care Services Home health agency, Watkinsville, GA, CCN 117019
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walton Family Medicine, P.C. Family Medicine CurrentSince Jan 1, 1995 Accepting new patients

Locations

521 Great Oaks Dr
Monroe, GA 30655
Phone (770) 267-7093

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1215010707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550671",
            "telephone_number": "770-267-7093",
            "fax_number": "770-267-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREAT OAKS DRIVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-267-7093",
            "fax_number": "770-267-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LENOX",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "033157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00431824C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.