Active NPI
Richard Clarke Morrison, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chattanooga, TN
National Provider Identifier
1235127762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 11550
- Practice address
- 6013 Shallowford Rd Ste 117
Chattanooga, TN 37421-1612 - Phone
- (423) 498-3570
- Fax
- (423) 498-3571
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 019972 | GA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 11550 | TN | Primary |
Addresses
Primary practice location
6013 Shallowford Rd Ste 117
Chattanooga, TN 37421-1612
Mailing address
1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 648-2395
Other practice location 1
2108 E 3rd St
Suite 300
Chattanooga, TN 37404-2605
Phone (423) 624-5233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3008748 | Medicaid | TN |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040427000708 | GA | Practitioner - Thoracic Surgery | 2264335207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019972 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 11550 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rmorrison19105@hhcs.direct-ci.com
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.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1235127762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213125",
"telephone_number": "423-648-2395",
"fax_number": "423-648-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6013 SHALLOWFORD RD STE 117",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211612",
"telephone_number": "423-498-3570",
"fax_number": "423-498-3571"
}
],
"practiceLocations": [
{
"address_1": "2108 E 3rd St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374042605",
"country_code": "US",
"telephone_number": "423-624-5233",
"fax_number": "423-624-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "RICHARD",
"middle_name": "CLARKE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "019972",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "11550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3008748",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.