Individual provider Active NPI

Morris K Patteson Jr., MD

  • Family Medicine Physician
  • Lampasas, TX
National Provider Identifier
1609858232
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2779 Issued in TX
Practice address
187 Private Road 4060
Lampasas, TX 76550-4071
Phone
(512) 556-3621
Fax
(512) 556-6594
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2779 TX Primary

Addresses

Primary practice location

187 Private Road 4060
Lampasas, TX 76550-4071

Mailing address

207 W Avenue E
Lampasas, TX 76550-1820
Phone (512) 556-3621

Other identifiers 6

IdentifierTypeStateIssuer
080149495OtherTXMEDICARE RAILROAD
132325502MedicaidTX
90046OtherTXSCOTT & WHITE
118137OtherTXSUPERIOR
89Y901OtherTXBLUE CROSS/BLUE SHIELD
121173100OtherTXFIRST CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000423 TX Practitioner - Family Practice 5395808901 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2779TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Nov 20, 2019 Accepting new patients
TMC Provider Group PLLC CurrentSince Nov 20, 2019 Accepting new patients

Locations

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Interoperability endpoints

  • Direct secure messaging: morris.patteson@fmc.directbygreenway.com

Organizations & group practices 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1609858232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W AVENUE E",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501820",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PRIVATE ROAD 4060",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765504071",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTESON",
        "first_name": "MORRIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080149495",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132325502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "90046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "118137",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "89Y901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "121173100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

Verify at the official NPI Registry.