Individual provider Active NPI

Justin Allen Morris, PA-C

  • Medical Physician Assistant
  • Saint Johns, MI
National Provider Identifier
1275991937
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007681 Issued in MI
Practice address
1005 S US Highway 27
Saint Johns, MI 48879-2423
Phone
(989) 224-3000
Fax
(989) 224-1424
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601007681 MI Primary

Addresses

Primary practice location

1005 S US Highway 27
Saint Johns, MI 48879-2423

Mailing address

1005 S US Highway 27
Saint Johns, MI 48879-2423
Phone (989) 224-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411002298 MI Practitioner - Physician Assistant 5193023976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007681MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center PC CurrentSince Feb 28, 2016 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

221 E Maple St
Carson City, MI 48811
Phone (989) 584-3153

123 E Cass St
Greenville, MI 48838
Phone (616) 221-4302

4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200

1515 Lake Lansing Rd
Ste C2
Lansing, MI 48912
Phone (517) 482-9582

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone (989) 292-3572

Interoperability endpoints

  • Direct secure messaging: justinmorris@compass.allscriptsdirect.net
  • Direct secure messaging: justinmorris@ccmedc.allscriptsdirect.net

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 3

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1275991937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.