Active NPI
Sandra Lynn Morris, M.M.SC., P.A.-C
- Physician Assistant
- Newnan, GA
National Provider Identifier
1225012602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003094
- Practice address
- 710 Newnan Crossing Bypass
Suite a
Newnan, GA 30263-2321 - Phone
- (770) 251-5111
- Fax
- (770) 254-8680
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003094 | GA | Primary |
Addresses
Primary practice location
710 Newnan Crossing Bypass
Suite a
Newnan, GA 30263-2321
Mailing address
7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Newnan Crossing Byp
Suite 100
Newnan, GA 30263-2384
Phone (770) 251-5111
874 Lanier Ave W
Suite 270
Fayetteville, GA 30214-7617
Phone (770) 251-5111
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 83.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003094 | GA | MD | Physician Assistant |
Interoperability endpoints
- sandra.morris@epiphanyderm.emadirect.md
- smorris@availdermatology.emadirect.md
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.
-
- Dermatology Physician
- Fayetteville, GA
- NPI 1265544357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1225012602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78730",
"telephone_number": "512-628-0465",
"fax_number": "512-233-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NEWNAN CROSSING BYPASS",
"address_2": "SUITE A",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302632321",
"telephone_number": "770-251-5111",
"fax_number": "770-254-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "SANDRA",
"middle_name": "LYNN",
"credential": "M.M.SC., P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.