NPIMap

Organization Active NPI

Senior Medical Systems, LLC

  • Family Medicine Physician
  • Cartersville, GA
National Provider Identifier
1427493709
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21115 Issued in GA
Legal business name
SENIOR MEDICAL SYSTEMS, LLC
Practice address
650 Henderson Dr Ste 430
Cartersville, GA 30120-3760
Phone
(678) 310-3531
Fax
(770) 684-0903
NPI assigned
May 1, 2013
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Nicholas Lloyd Morrow, MDNPI 1336573757
Title
Physician
Phone
(678) 848-0722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 21115 GA Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 23242 GA

Addresses

Primary practice location

650 Henderson Dr Ste 430
Cartersville, GA 30120-3760

Mailing address

650 Henderson Dr Ste 430
Cartersville, GA 30120-3760
Phone (678) 310-3531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130626000658 GA Part B Supplier - Clinic/Group Practice 9931348752 Receives reassigned benefits from 8 practitioners
Practice locations: Rocksmart, GA; Woodstock, GA; Rome, GA; Rockmart, GA; Powder Springs, GA; La Fayette, GA; Jasper, GA; Fort Oglethorpe, GA…

National Provider Directory

National Provider Directory
Tax ID family
Senior Medical Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Henderson Dr
Ste 430
Cartersville, GA 30120
Phone (404) 334-5859

105 Arnold Mill Rd
Woodstock, GA 30188
Phone (770) 926-0016

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1427493709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 430",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203760",
            "telephone_number": "678-310-3531",
            "fax_number": "770-684-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 430",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203760",
            "telephone_number": "678-310-3531",
            "fax_number": "770-684-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-848-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "21115",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "23242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.