Timothy Morris, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1386 Issued in GA

Practice address

1445 Old McDonough Hwy SE
Conyers, GA 30094-5977

Phone

(770) 922-9222

NPI assigned

Oct 18, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Lansing, MI
  • NPI 1619743218
  NPD (past)

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1396173837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 HAZELBRAND RD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141065",
            "telephone_number": "770-760-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 OLD MCDONOUGH HWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945977",
            "telephone_number": "770-922-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Dale Moragne, LPN
• Melissa Morgan
• Brittney Danielle Mork
• Morningside of Conyers, LLC (Morningside of Conyers)
• Taryn Morris
• Tolbert Morris Jr.
• Tresa Morris, APRN, PMHNP-BC
• Letitia Morrissette, RN
• James Luther Morton, LPC
• Shelly-Ann Michelle Moses, LPC

• Physician Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.