Individual provider Active NPI

Morris Lee Moncure

  • Durable Medical Equipment & Medical Supplies
  • Mansura, LA
National Provider Identifier
1619096476
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
7360 Highway 1
Suite 3
Mansura, LA 71350-4206
Phone
(601) 832-6024
Fax
(601) 892-7746
NPI assigned
Mar 29, 2007
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7360 Highway 1
Suite 3
Mansura, LA 71350-4206

Mailing address

303 E Marion Ave
Crystal Springs, MS 39059-2795
Phone (601) 892-7745

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Prosthetics Ms LLC Past Accepting new patients
Freedom Prosthetics Ms LLC Durable Medical Equipment & Medical Supplies Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1619096476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MARION AVE",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592795",
            "telephone_number": "601-892-7745",
            "fax_number": "601-892-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 HIGHWAY 1",
            "address_2": "SUITE 3",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504206",
            "telephone_number": "601-832-6024",
            "fax_number": "601-892-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCURE",
        "first_name": "MORRIS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansura, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.