Active NPI
Kimberly G Morris, MD
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 047539
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Piedmont Eastside Medical Center
- Northside Hospital
- NGMC Barrow, LLC
- Northeast Georgia Medical Center Lumpkin
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.38 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047539 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Regional Pathology Associates, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Eastside Pathology Associates PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Gi North PC | Past | Accepting new patients | |
| Robert S. Smith MD, Inc | Past | 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
- kimberly.morris.p1@direct.azgastroenterology.nextgenshare.com
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Snellville, GA
- NPI 1831997188
-
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, GA
- NPI 1942239637
-
- Gastroenterology Physician
- Cumming, GA
- NPI 1073999066
-
- Gastroenterology Physician
- Cumming, GA
- NPI 1750689964
-
- Clinical Medical Laboratory
- Alpharetta, GA
- NPI 1871075895
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Dahlonega, GA
- NPI 1083174973
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.