Individual provider Active NPI

Patricia Payne Morris, CSA, CRNFA

  • Registered Nurse First Assistant
  • Eastaboga, AL
National Provider Identifier
1386937043
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
1095648 Issued in AL
Practice address
961 Airport Rd
Eastaboga, AL 36260-7023
Phone
(256) 310-7972
Fax
(256) 835-4728
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 1095648 AL Primary
Surgical Assistant 246ZC0007X 4803 AL

Addresses

Primary practice location

961 Airport Rd
Eastaboga, AL 36260-7023

Mailing address

961 Airport Rd
Eastaboga, AL 36260-7023
Phone (256) 310-7972

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pamorris@tanner.org Health Information Exchange (HIE) Tanner Medical Center, Inc

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4803ALMDPeriodontist
1095648ALMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Alabama Surgical Associates Registered Nurse First Assistant CurrentSince Jan 26, 2020 Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386937043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 AIRPORT RD",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362607023",
            "telephone_number": "256-310-7972",
            "fax_number": "256-835-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 AIRPORT RD",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362607023",
            "telephone_number": "256-310-7972",
            "fax_number": "256-835-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "PATRICIA",
        "middle_name": "PAYNE",
        "name_prefix": "Ms.",
        "credential": "CSA, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AL",
            "license": "1095648",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "AL",
            "license": "4803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pamorris@tanner.org",
            "affiliation": "Y",
            "affiliationName": "Tanner Medical Center, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "705 Dixie St",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301173818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastaboga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.