Active NPI
Paula Ann Morris, F.N.P.
- Family Nurse Practitioner
- Hattiesburg, MS
National Provider Identifier
1619012846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R853775
- Practice address
- 39 Franklin Rd
Suite 300
Hattiesburg, MS 39402-1588 - Phone
- (601) 268-9393
- Fax
- (601) 268-9559
- NPI assigned
- Feb 21, 2007
- Last updated
- Oct 30, 2015
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | R853775 | MS | Primary |
Addresses
Primary practice location
39 Franklin Rd
Suite 300
Hattiesburg, MS 39402-1588
Mailing address
6524 U S Highway 98
Hattiesburg, MS 39402-8569
Phone (601) 268-9393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302I503271 | Other | MS | MEDICARE PTAN |
| 01339813 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Women's Health, PLLC | Current | Accepting new patients |
Locations
6524 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 268-9393
Interoperability endpoints
- https://api.platform.athenahealth.com/22789/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Women's Pavilion of South Mississippi
- Rural Health Clinic/Center
- Hattiesburg, MS
- NPI 1548640642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1619012846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6524 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028569",
"telephone_number": "601-268-9393",
"fax_number": "601-268-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 FRANKLIN RD",
"address_2": "SUITE 300",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021588",
"telephone_number": "601-268-9393",
"fax_number": "601-268-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "PAULA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R853775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "302I503271",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01339813",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.