Active NPI
John Andrew Morris, DO
- Diagnostic Radiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- Q498793
- Practice address
- 1120 15TH St
Augusta, GA 30912 - Phone
- (248) 884-1310
- NPI assigned
- May 29, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 10755 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101024005 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | Q498793 | MI | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912
Mailing address
1459 Laney Walker Blvd
Ae 3042
Augusta, GA 30912
Phone (706) 721-8623
Other practice location 1
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-3964
Other practice location 2
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456
5333 McAuley Dr
RM 6016
Ypsilanti, MI 48197-1005
Phone (734) 712-8350
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Oakland Hospital
- Trinity Health Livingston Hospital
- Chelsea Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q498793 | MI | MD | Diagnostic Radiology Physician |
| 10755 | GA | MD | Student in an Organized Health Care Education/Training Program |
| 5101024005 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Huron Valley Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
Locations
7575 Grand River Rd
Ste 103
Brighton, MI 48114
Phone (866) 522-8268
44405 Woodward Ave
#202
Pontiac, MI 48341
Phone (248) 858-3000
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
5333 McAuley Dr
Rm 6016
Ypsilanti, MI 48197
5303 Elliott Dr
#2661
Ypsilanti, MI 48197
Phone (734) 712-0280
Interoperability endpoints
- jmorris3325041@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Ypsilanti, MI
- NPI 1659398519
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1255822904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 LANEY WALKER BLVD",
"address_2": "AE 3042",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30912",
"telephone_number": "706-721-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30912",
"telephone_number": "248-884-1310"
}
],
"practiceLocations": [
{
"address_1": "205 N East Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011753",
"country_code": "US",
"telephone_number": "517-205-3964",
"fax_number": "517-205-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 N East Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011753",
"country_code": "US",
"telephone_number": "517-205-3964",
"fax_number": "517-205-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "10755",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101024005",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "Q498793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
- 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.