Active NPI
Robert J Morris
- Dermatopathology Physician
- Atlanta, GA
National Provider Identifier
1508972381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 034420
- Practice address
- 101 Woodruff Cir
Emory University, Department of Dermatology, Room 5034
Atlanta, GA 30322-0001 - Phone
- (404) 727-0666
- NPI assigned
- Aug 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 034420 | GA | Primary |
| Dermatopathology Physician | 207ND0900X | 233885-1 | NY | |
| Dermatopathology Physician | 207ND0900X | IL |
Addresses
Primary practice location
101 Woodruff Cir
Emory University, Department of Dermatology, Room 5034
Atlanta, GA 30322-0001
Mailing address
1878 Vanderlyn Dr
Atlanta, GA 30338-4335
Phone (404) 727-0666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034420 | GA | MD | Dermatopathology Physician |
| 036-112525 | IL | MD | Dermatopathology Physician |
| 233885-1 | NY | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Dermatopathology | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Rm 331
Decatur, GA 30030
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": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508972381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1878 VANDERLYN DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303384335",
"telephone_number": "404-727-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WOODRUFF CIR",
"address_2": "EMORY UNIVERSITY, DEPARTMENT OF DERMATOLOGY, ROOM 5034",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-727-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "GA",
"license": "034420",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "233885-1",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.