Active NPI
Douglas James Morrison, MD
- Emergency Medicine Physician
- Snellvilel, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042093
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000763683K | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Emergency Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Mississippi Emergency Department Services PC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
-
- Emergency Medicine Physician
- Pascagoula, MS
- NPI 1881427961
-
- Emergency Medicine Physician
- Snellville, GA
- NPI 1396782967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.