Active NPI
Johnnie E Morris, DC
- Chiropractor
- Grenada, MS
National Provider Identifier
1326140799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0995
- Practice address
- 1332 Sunset Dr
Suite a
Grenada, MS 38901-4000 - Phone
- (662) 229-0690
- Fax
- (662) 229-0352
- NPI assigned
- Sep 5, 2006
- Last updated
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0995 | MS | Primary |
Addresses
Primary practice location
1332 Sunset Dr
Suite a
Grenada, MS 38901-4000
Mailing address
PO Box 1169
Suite a
Grenada, MS 38902-1169
Phone (662) 229-0690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122244 | Medicaid | MS | |
| 3051083001 | Other | MS | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 995 | MS | MD | Optometrist |
Organizations & group practices 1
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.
-
- Chiropractor
- Grenada, MS
- NPI 1669581468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1326140799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1169",
"address_2": "SUITE A",
"city": "GRENADA",
"state": "MS",
"postal_code": "389021169",
"telephone_number": "662-229-0690",
"fax_number": "662-229-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 SUNSET DR",
"address_2": "SUITE A",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014000",
"telephone_number": "662-229-0690",
"fax_number": "662-229-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JOHNNIE",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "0995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122244",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3051083001",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
- Candice Moore, OTR/L
- Gale Moore, C.N.M.
- James R Moore Jr., R. PH.
- Kayla Anglin Moore, NP-C
- Morris Family Chiropractic PA
- Ms State Hospital Crisis Intervention Center - Grenada
- Matthew Murphree
- Chambria Nelson
- Nexion Health at Grenada, Inc. (Grenada Rehabilitation and Healthcare Center)
- John David Nobile
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.