Individual provider Active NPI

Robin Morris, NP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1447530936
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R864382 Issued in MS
Practice address
1067 Highland Colony Pkwy
Ridgeland, MS 39157-8770
Phone
(601) 707-3737
NPI assigned
Aug 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 864382 MS
Family Nurse Practitioner 363LF0000X R864382 MS Primary

Addresses

Primary practice location

1067 Highland Colony Pkwy
Ridgeland, MS 39157-8770

Mailing address

1631 N Old Canton Rd
Canton, MS 39046-9131
Phone (601) 454-5254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000282 MS Practitioner - Nurse Practitioner 0345481784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

101 Lexington Dr
Suite a
Gluckstadt, MS 39110-6986
Phone (601) 707-3771

1710 Old Fannin Rd
Flowood, MS 39232-9004
Phone (601) 487-9191

4880 I 55 Frontage Rd N
Jackson, MS 39211-5469
Phone (601) 467-9199

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

786 Lake Harbour Dr
Ridgeland, MS 39157-4303
Phone (601) 499-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
864382MSMDFamily Nurse Practitioner
R864382MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC CurrentSince Jun 1, 2013 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
St. Dominic Jackson Memorial Past Accepting new patients

Locations

1645 W Government Cv
Unit F
Brandon, MS 39042

4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199

1073 Highway 51
Ste 105
Madison, MS 39110
Phone (601) 203-1570

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1051 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3737

Interoperability endpoints

  • Direct secure messaging: robin.thomas.1@19538.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1447530936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 N OLD CANTON RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469131",
            "telephone_number": "601-454-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578770",
            "telephone_number": "601-707-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ROBIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "864382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R864382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.