Individual provider Active NPI

John Andrew Morris, DO

  • Diagnostic Radiology Physician
  • Augusta, GA
National Provider Identifier
1255822904
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q498793 Issued in MI
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

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000673 MI Practitioner - Diagnostic Radiology 0749545242 Reassigns benefits to 2 organizations

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
X-Ray Consultants IncGroup PAC ID 7315859832, 38 clinicians
Huron Valley Radiology PCGroup PAC ID 2961466859, 76 clinicians

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 Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q498793MIMDDiagnostic Radiology Physician
10755GAMDStudent in an Organized Health Care Education/Training Program
5101024005MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Huron Valley Radiology PC Diagnostic Radiology CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.