NPIMap

Individual provider Active NPI

Jeffrey Morris, MD

  • Internal Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1497710685
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14406 Issued in MS
Practice address
2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5328
Phone
(601) 262-1000
Fax
(601) 630-9980
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14406 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5328

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

401 Baptist Dr Ste 104
Madison, MS 39110-2010
Phone (601) 605-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000272 MS Practitioner - Internal Medicine 5496884033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

Practice addresses (Care Compare)

110 S Pearson Rd
Pearl, MS 39208-5635
Phone (601) 968-1237

1200 N State St
Jackson, MS 39202-2027

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

Hospital & facility affiliations

  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Yalobusha General Hospital Hospital, Water Valley, MS, CCN 250061

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14406MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Aug 24, 2020 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Aug 24, 2020 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Aug 24, 2020 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Aug 24, 2020 Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients
Wesley Physician Services LLC Internal Medicine Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: mjeffery436325@direct.bmhcc.org
  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1497710685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805328",
            "telephone_number": "601-262-1000",
            "fax_number": "601-630-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Baptist Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102010",
            "country_code": "US",
            "telephone_number": "601-605-2383",
            "fax_number": "601-605-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.