NPIMap

Individual provider Active NPI

Morris E Brown III, M.D.

  • Family Medicine Physician
  • Lake City, SC
National Provider Identifier
1801992599
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17100 Issued in SC
Practice address
901 N. Matthews Road
Lake City, SC 29560-7024
Phone
(843) 374-8380
Fax
(843) 374-5247
NPI assigned
Sep 16, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17100 SC Primary

Addresses

Primary practice location

901 N. Matthews Road
Lake City, SC 29560-7024

Mailing address

901 N. Matthews Road
Lake City, SC 29560-7024
Phone (843) 374-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000030 SC Practitioner - Family Practice 7012827280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Family Medicine LLCGroup PAC ID 0547368441, 3 clinicians

Practice addresses (Care Compare)

505 Thurgood Marshall Hwy
Kingstree, SC 29556-4107
Phone (843) 355-8380

901 N Matthews Rd
Lake City, SC 29560-7024
Phone (843) 374-8380

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Family Medicine, LLC CurrentSince Jan 1, 2006 Accepting new patients
Lake City Family Medicine LLC Past Accepting new patients
Lake City Family Medicine Past Accepting new patients
Lower Florence County Hospital PastSince Apr 30, 2003 Accepting new patients

Locations

901 N Matthews Rd
Lake City, SC 29560
Phone (843) 374-8380

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake City Family Medicine LLCLake City, SC, CCN 428988 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee		 Jan 27, 2006
Jan 27, 2006
Family Medicine Associates LLCKingstree, SC, CCN 423888 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801992599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N. MATTHEWS ROAD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N. MATTHEWS ROAD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MORRIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

Verify at the official NPI Registry.