Organization Active NPI

John a Morris DC PA

Doing business as Beaches Chiropractic or Morris Chiropractic

  • Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1588779235
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8378 Issued in FL
Legal business name
JOHN A MORRIS DC PA
Doing business as
Beaches Chiropractic or Morris Chiropractic
Practice address
333 5TH Ave N
Jacksonville Beach, FL 32250-5611
Phone
(904) 241-7907
Fax
(904) 241-1401
NPI assigned
Aug 21, 2006
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Casey G MorrisNPI 1174601173
Title
President
Phone
(904) 241-7907

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8378 FL Primary

Addresses

Primary practice location

333 5TH Ave N
Jacksonville Beach, FL 32250-5611

Mailing address

333 5TH Ave N
Jacksonville Beach, FL 32250-5611
Phone (904) 241-7907

Other identifiers 1

IdentifierTypeStateIssuer
34769 GROUP NUMBEROtherFLBCBS

Other names 1

  • Beaches Chiropractic or Morris Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000330 FL Part B Supplier - Clinic/Group Practice 3870750979 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1588779235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 5TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505611",
            "telephone_number": "904-241-7907",
            "fax_number": "904-241-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 5TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505611",
            "telephone_number": "904-241-7907",
            "fax_number": "904-241-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A MORRIS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-241-7907",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34769  GROUP NUMBER",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaches Chiropractic or Morris Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.