Organization Active NPI

Atlantic Health Medical, Inc

  • Internal Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1770156838
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATLANTIC HEALTH MEDICAL, INC
Practice address
1380 NE Miami Gardens Dr Ste 210
North Miami Beach, FL 33179-4709
Phone
(305) 931-7424
Fax
(305) 931-7425
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mr. Volrick Darrell Morrison, DONPI 1669611711
Title
President/Physician
Phone
(305) 931-7424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 210
North Miami Beach, FL 33179-4709

Mailing address

1380 NE Miami Gardens Dr Ste 210
North Miami Beach, FL 33179-4709
Phone (305) 931-7424

Other practice location 1

1515 N University Dr Ste 217
Coral Springs, FL 33071-8933
Phone (305) 931-7424

Other identifiers 1

IdentifierTypeStateIssuer
001336200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910002010 FL Part B Supplier - Clinic/Group Practice 6608272935 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL; North Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2167881Atlantic Health Medical, Inc1515 N University Drive Suite 217, Coral Springs, FL 33071Certificate of waiverJul 30, 2027
10D2270428Atlantic Health Medical, Inc1380 NE Miami Gardens Drive, Ste 210, North Miami Beach, FL 33179Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

1380 NE Miami Gardens Dr
Ste 210
North Miami Beach, FL 33179
Phone (305) 692-9009

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1770156838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 210",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-931-7424",
            "fax_number": "305-931-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 210",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-931-7424",
            "fax_number": "305-931-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N University Dr Ste 217",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330718933",
            "country_code": "US",
            "telephone_number": "305-931-7424",
            "fax_number": "305-931-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC HEALTH MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "VOLRICK",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "305-931-7424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001336200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.