Individual provider Active NPI

Kimberly G Morris, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Gainesville, GA
National Provider Identifier
1699837575
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
047539 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-1553
Fax
(844) 876-0873
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 047539 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

5936 Island View Dr
Buford, GA 30518-1330
Phone (770) 317-9004

Other practice location 1

4150 Deputy Bill Cantrell Memorial Rd.
Suite 290
Cumming, GA 30040
Phone (404) 446-0600

Other names 1

  • Kimberly Tackitt Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001029 GA Practitioner - Pathology 8224223318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Columbia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Pathology Associates PCGroup PAC ID 5698297950, 4 clinicians
Gainesville Regional Pathology Associates, PCGroup PAC ID 6608860929, 8 clinicians

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (800) 288-8325

743 Spring St NE
Gainesville, GA 30501-3741
Phone (770) 219-1553

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237

Merit-based Incentive Payment System (MIPS)

Final score
91.38 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047539GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Regional Pathology Associates, PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2024 Accepting new patients
Eastside Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2025 Accepting new patients
Gi North PC PastSince Sep 1, 2019 Accepting new patients
Robert S. Smith MD, Inc PastSince Mar 16, 2012 Accepting new patients

Locations

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: kimberly.morris.p1@direct.azgastroenterology.nextgenshare.com
  • Direct secure messaging: kimberly.morris.p2@direct.azgastroenterology.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1699837575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 ISLAND VIEW DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181330",
            "telephone_number": "770-317-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-1553",
            "fax_number": "844-876-0873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Deputy Bill Cantrell Memorial Rd.",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "047539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TACKITT",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.