Individual provider Active NPI

Tresa Morris, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1285285072
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN263950 Issued in GA
Practice address
2274 Salem Rd SE Ste 106-1485
Conyers, GA 30013-2097
Phone
(770) 728-9491
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN263950 GA
Psychiatric/Mental Health Registered Nurse 163WP0808X 815209 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11013791 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 68605 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40181 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 176194 MT
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN263950 GA Primary

Addresses

Primary practice location

2274 Salem Rd SE Ste 106-1485
Conyers, GA 30013-2097

Mailing address

2274 Salem Rd SE Ste 106-1485
Conyers, GA 30013-2097
Phone (770) 728-9491

Other names 1

  • Tresa Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210129002549 GA Practitioner - Nurse Practitioner 7618381849 Reassigns benefits to 2 organizations
Practice locations: Conyers, GA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Rivers Community Service BoardGroup PAC ID 9032000245, 57 clinicians

Practice addresses (Care Compare)

100 Wright Court
Calhoun, GA 30701-4779
Phone (706) 270-5033

1179 Progress Rd
Ellijay, GA 30540-5504
Phone (706) 270-5033

1449 Temple Rd
Bremen, GA 30110-2378
Phone (770) 537-2367

1650 County Service Pkwy SW
Marietta, GA 30008-4010
Phone (770) 514-2422

191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone (770) 720-3510

6 Mathis Dr NW
Rome, GA 30165-1242

650 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-3962
Phone (770) 387-3538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN263950GAMDPsychiatric/Mental Health Registered Nurse
815209NYMDPsychiatric/Mental Health Registered Nurse
11013791FLMDPsychiatric/Mental Health Nurse Practitioner
176194MTMDPsychiatric/Mental Health Nurse Practitioner
40181NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Dec 6, 2021 Accepting new patients
Highland Rivers Community Service Board Single Specialty CurrentSince Dec 6, 2021 Accepting new patients
Pinnacle Behavioral Health Single Specialty CurrentSince Apr 22, 2024 Accepting new patients
Mind Over Matter Psychiatric Services, LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

2274 Salem Rd SE
Ste 1061485
Conyers, GA 30013
Phone (770) 728-9491

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

900 Shugart Rd
Ste B
Dalton, GA 30720
Phone (706) 270-5027

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1285285072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-1485",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097",
            "telephone_number": "770-728-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-1485",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097",
            "telephone_number": "770-728-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TRESA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN263950",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "815209",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11013791",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "68605",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "40181",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "176194",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN263950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRESA",
            "last_name": "MORRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.