Individual provider Active NPI

Douglas James Morrison, MD

  • Emergency Medicine Physician
  • Snellvilel, GA
National Provider Identifier
1417995663
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042093 Issued in GA
Practice address
1700 Medical Way
Eastside Medical Center
Snellvilel, GA 30278
Phone
(770) 736-2376
Fax
(770) 736-2379
NPI assigned
Jun 2, 2006
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 042093 GA Primary

Addresses

Primary practice location

1700 Medical Way
Eastside Medical Center
Snellvilel, GA 30278

Mailing address

PO Box 116301
Paragon Emergency Physicians PC
Atlanta, GA 30368-6301
Phone (800) 666-2455

Other identifiers 1

IdentifierTypeStateIssuer
000763683KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101109000066 GA Practitioner - Emergency Medicine 7113112871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
91.38
Improvement activities
40
Cost
79.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Mississippi Emergency Department Services PC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Paragon Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Organizations & group practices 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1417995663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116301",
            "address_2": "PARAGON EMERGENCY PHYSICIANS PC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686301",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "address_2": "EASTSIDE MEDICAL CENTER",
            "city": "SNELLVILEL",
            "state": "GA",
            "postal_code": "30278",
            "telephone_number": "770-736-2376",
            "fax_number": "770-736-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "042093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000763683K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.