Individual provider Active NPI

Richard Clarke Morrison, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chattanooga, TN
National Provider Identifier
1235127762
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
11550 Issued in TN
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3008748MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000708 GA Practitioner - Thoracic Surgery 2264335207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019972GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
11550TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.