Individual provider Active NPI

Kendall Anne Morrison, M.D.

  • Dermatology Physician
  • Crossville, TN
National Provider Identifier
1427044320
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
37062 Issued in TN
Practice address
29 Taylor Ave
Suite 101
Crossville, TN 38555
Phone
(931) 484-6061
Fax
(931) 484-6062
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 37062 TN Primary

Addresses

Primary practice location

29 Taylor Ave
Suite 101
Crossville, TN 38555

Mailing address

29 Taylor Ave
Suite 101
Crossville, TN 38555-4526
Phone (931) 484-6061

Other practice location 1

303 N Oak Ave
Cookeville, TN 38501-2439
Phone (931) 484-6061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KAM@cumberland.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041120000192 TN Practitioner - Dermatology 4981668423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Dermatology PCGroup PAC ID 1355305897, 6 clinicians

Practice addresses (Care Compare)

29 Taylor Ave
Suite 101
Crossville, TN 38555-4536
Phone (931) 484-6061

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
86.4
Promoting interoperability
94
Improvement activities
40
Cost
97.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of tissue1-10
Removal of skin lesions1-10
Removal of skin cancer427
Skin biopsy12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Dermatology, P.C. CurrentSince Mar 12, 2003 Accepting new patients

Locations

303 N Oak Ave
Cookeville, TN 38501
Phone (931) 484-6061

567 S Willow Ave
Cookeville, TN 38501
Phone (931) 250-1932

29 Taylor Ave
Ste 101
Crossville, TN 38555
Phone (931) 484-6061

Interoperability endpoints

  • Direct secure messaging: kam@cumberland.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1427044320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554526",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012439",
            "country_code": "US",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "KENDALL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "37062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KAM@cumberland.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Modernizing Medicine Direct Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Taylor Ave",
            "address_2": "Suite 101",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.