Individual provider Active NPI

Valerie Baughn Morris, FNP-C

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1265917694
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902825 Issued in MS
Practice address
156 River Oaks Dr
Canton, MS 39046-5376
Phone
(601) 855-5287
NPI assigned
Oct 2, 2018
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902825 MS Primary

Addresses

Primary practice location

156 River Oaks Dr
Canton, MS 39046-5376

Mailing address

139 Stratford Dr
Madison, MS 39110-7815
Phone (662) 801-0356

Other identifiers 1

IdentifierTypeStateIssuer
08350522MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210427000737 MS Practitioner - Nurse Practitioner 9537577812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revitalize Hydration Therapy LLCGroup PAC ID 5193154128, 8 clinicians

Practice addresses (Care Compare)

885 Liberty Rd
Suite 300
Flowood, MS 39232-9006
Phone (601) 213-0069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902825MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Oct 30, 2023 Accepting new patients
Revitalize Hydration Therapy, LLC CurrentSince Nov 3, 2025 Accepting new patients
Vibha Vig MD PA Past Accepting new patients
Trustcare Health, LLC Past Accepting new patients

Locations

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

885 Liberty Rd
Ste 300
Flowood, MS 39232
Phone (601) 213-0069

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1067 Highland Colony Pkwy
Ste G
Ridgeland, MS 39157
Phone (601) 707-3490

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • Direct secure messaging: valerie.morris.1@19538.direct.athenahealth.com
  • Direct secure messaging: vmorris7539@ummc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265917694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 STRATFORD DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107815",
            "telephone_number": "662-801-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 RIVER OAKS DR",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465376",
            "telephone_number": "601-855-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "VALERIE",
        "middle_name": "BAUGHN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08350522",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.