Individual provider Active NPI

Kenneth R Morris, MD

  • Family Medicine Physician
  • Brandon, MS
National Provider Identifier
1376643486
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12865 Issued in MS
Practice address
400 Burnham Rd
Brandon, MS 39042-2550
Phone
(601) 939-1974
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12865 MS Primary

Addresses

Primary practice location

400 Burnham Rd
Brandon, MS 39042-2550

Mailing address

400 Burnham Rd
Brandon, MS 39042-2550

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000999 MS Practitioner - Family Practice 7416136262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Medical Services PAGroup PAC ID 7618351982, 2 clinicians

Practice addresses (Care Compare)

101 Millstone Dr
Pearl, MS 39208-8956
Phone (601) 806-2158

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

Merit-based Incentive Payment System (MIPS)

Final score
17.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12865MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Medical Services PA Family Medicine CurrentSince May 10, 2022 Accepting new patients
River Oaks Management Company LLC Family Medicine Past Accepting new patients

Locations

101 Millstone Dr
Pearl, MS 39208
Phone (601) 806-2158

Interoperability endpoints

  • Direct secure messaging: kmorris154126@direct.bmhcc.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1376643486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BURNHAM RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422550",
            "fax_number": "601-939-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BURNHAM RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422550",
            "telephone_number": "601-939-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.