Individual provider Active NPI

Paul Morris, D.O.

  • Cardiovascular Disease Physician
  • Florence, AL
National Provider Identifier
1396765095
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO.1143 Issued in AL
Practice address
620 Sam Phillips St
Florence, AL 35630-5859
Phone
(256) 415-8567
Fax
(256) 284-7797
NPI assigned
Jul 19, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07842300 NJ
Cardiovascular Disease Physician 207RC0000X 25MB07842300 NJ
Cardiovascular Disease Physician 207RC0000X DO.1143 AL Primary

Addresses

Primary practice location

620 Sam Phillips St
Florence, AL 35630-5859

Mailing address

620 Sam Phillips St
Florence, AL 35630-5859
Phone (256) 415-8567

Other practice location 1

342 Cox Blvd
Sheffield, AL 35660-4020
Phone (256) 383-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101020001400 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 6103832605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Sam Phillips St
Florence, AL 35630-5859
Phone (256) 415-8567

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.1143ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Heart and Endovascular Center, LLC Cardiovascular Disease CurrentSince Nov 30, 2022 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Clinical Staffing Solutions P.C. Internal Medicine Past Accepting new patients

Locations

620 Sam Phillips St
Florence, AL 35630
Phone (256) 415-8567

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1396765095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SAM PHILLIPS ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305859",
            "telephone_number": "256-415-8567",
            "fax_number": "256-284-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SAM PHILLIPS ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305859",
            "telephone_number": "256-415-8567",
            "fax_number": "256-284-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Cox Blvd",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356604020",
            "country_code": "US",
            "telephone_number": "256-383-4473",
            "fax_number": "256-383-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07842300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB07842300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "DO.1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.