Active NPI
William Henry Morris Jr., MD
- General Practice Physician
- Summerville, SC
National Provider Identifier
1760419931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6747
- Practice address
- 404 N Pine St
Summerville, SC 29483 - Phone
- (843) 871-8366
- Fax
- (843) 873-0100
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6747 | SC | Primary |
Addresses
Primary practice location
404 N Pine St
Summerville, SC 29483
Mailing address
404 N Pine St
Summerville, SC 29483
Phone (843) 871-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067475 | Medicaid | SC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6747 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1760419931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N PINE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29483",
"telephone_number": "843-871-8366",
"fax_number": "843-873-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N PINE ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29483",
"telephone_number": "843-871-8366",
"fax_number": "843-873-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "6747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067475",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.