Individual provider Active NPI

Gloria Green-Morris, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • University, MS
National Provider Identifier
1255920245
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905708 Issued in MS
Practice address
87 Dormitory Row West
University, MS 38677-1848
Phone
(662) 915-2195
NPI assigned
Jan 13, 2021
Last updated
May 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1123014 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 323954 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905708 MS Primary
Registered Nurse 163W00000X 860244 MS

Addresses

Primary practice location

87 Dormitory Row West
University, MS 38677-1848

Mailing address

PO Box 261
Greenwood, MS 38935-0261
Phone (662) 392-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250203002740 MS Practitioner - Nurse Practitioner 6406386606 Reassigns benefits to 4 organizations
I20250204000323 TX Practitioner - Nurse Practitioner 6406386606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians

Practice addresses (Care Compare)

Gulfport, MS 39507
Phone (415) 360-3348

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
860244MSMDRegistered Nurse
323954AZMDPsychiatric/Mental Health Nurse Practitioner
905708MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Brightside Medical, P.C. Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1110 Cowan Rd
#B
Gulfport, MS 39507
Phone (228) 254-3037

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1255920245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389350261",
            "telephone_number": "662-392-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 DORMITORY ROW WEST",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "386771848",
            "telephone_number": "662-915-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-MORRIS",
        "first_name": "GLORIA",
        "credential": "DNP, APRN,  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1123014",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "323954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905708",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "860244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University, MS

Sources for this page

Verify at the official NPI Registry.