Individual provider Active NPI

McDonald Morrison, DMD

  • General Practice Dentistry
  • Brunswick, GA
National Provider Identifier
1811455314
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN016019 Issued in GA
Practice address
25 Coral Park Way
Brunswick, GA 31520-3000
Phone
(912) 265-0750
NPI assigned
Mar 4, 2019
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN016019 GA Primary

Addresses

Primary practice location

25 Coral Park Way
Brunswick, GA 31520-3000

Mailing address

241 Sea Palms Colony BLDG D
Saint Simons Island, GA 31522-1119
Phone (912) 230-0026

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN016019GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Isles Dental Associates, LLC General Practice CurrentSince Apr 9, 2023 Accepting new patients

Locations

25 Coral Park Way
Brunswick, GA 31520
Phone (912) 265-0750

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1811455314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SEA PALMS COLONY BLDG D",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221119",
            "telephone_number": "912-230-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORAL PARK WAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203000",
            "telephone_number": "912-265-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MCDONALD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.