Active NPI
Elsie Coleman Morris, MD
- Allergy & Immunology Physician
- Tucker, GA
National Provider Identifier
1306823075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 023392
- Practice address
- 1462 Montreal Rd
Ste 214
Tucker, GA 30084 - Phone
- (770) 934-9210
- Fax
- (770) 934-9209
- NPI assigned
- Dec 23, 2005
- Last updated
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 023392 | GA | Primary |
| Pediatrics Physician | 208000000X | 023392 | GA | |
| Occupational Medicine Physician | 2083X0100X | 023392 | GA |
Addresses
Primary practice location
1462 Montreal Rd
Ste 214
Tucker, GA 30084
Mailing address
1462 Montreal Rd
Ste 214
Tucker, GA 30084
Phone (770) 934-9210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00258321L | Medicaid | GA |
Other names 1
- Elsie Coleman Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Clinics of Ga | Allergy & Immunology | Past | Accepting new patients |
| Morehouse Healthcare, Inc. | Pediatrics | Past | Accepting new patients |
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, 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": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1306823075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "STE 214",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-934-9210",
"fax_number": "770-934-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "STE 214",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-934-9210",
"fax_number": "770-934-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ELSIE",
"middle_name": "COLEMAN",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "023392",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "023392",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "GA",
"license": "023392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00258321L",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELSIE",
"last_name": "ADAMS",
"middle_name": "COLEMAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.