Active NPI
John CW Morse, MD
- Family Medicine Physician
- Dickson, TN
National Provider Identifier
1497758445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD18679
- Practice address
- 127 Crestview Park Dr
Dickson, TN 37055-2850 - Phone
- (615) 446-5121
- Fax
- (615) 441-4593
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD18679 | TN | Primary |
Addresses
Primary practice location
127 Crestview Park Dr
Dickson, TN 37055-2850
Mailing address
127 Crestview Park Dr
Dickson, TN 37055-2850
Phone (615) 446-5121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3158247 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3034259 | Medicaid | TN | |
| 080162957 | Other | RAILROAD MEDICARE PIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100222000424 | TN | Practitioner - Family Practice | 5294824686 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18679 | TN | MD | Family Medicine Physician |
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dickson Medical Associates Crestview Walk-in | Rural health clinic | General Partnership Interest (4.93%) | Jan 24, 2021 |
| Dickson Medical Associates, PC | Rural health clinic | General Partnership Interest (4.93%) | Jan 24, 2021 |
| Dickson Medical Associates, PC | Rural health clinic | General Partnership Interest (4.96%) | Jan 24, 2021 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Dickson, TN
- NPI 1285227470
General Partnership Interest
-
- Family Medicine Physician
- Ashland City, TN
- NPI 1164127791
General Partnership Interest
-
- Family Medicine Physician
- Kingston Springs, TN
- NPI 1215632849
General Partnership Interest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1497758445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552850",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552850",
"telephone_number": "615-446-5121",
"fax_number": "615-441-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "JOHN",
"middle_name": "CW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD18679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3158247",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034259",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "080162957",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.