Individual provider Active NPI

Merri Beth Morris, M.D.

  • Gynecology Physician
  • Orlando, FL
National Provider Identifier
1821085051
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME96883 Issued in FL
Practice address
726 S Tampa Ave
Orlando, FL 32805-3646
Phone
(407) 246-1788
Fax
(407) 246-8466
NPI assigned
Oct 3, 2005
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29780 NC
Obstetrics & Gynecology Physician 207V00000X 16271 AZ
Obstetrics & Gynecology Physician 207V00000X 021413 TN
Gynecology Physician 207VG0400X 23158 SC
Gynecology Physician 207VG0400X ME96883 FL Primary

Addresses

Primary practice location

726 S Tampa Ave
Orlando, FL 32805-3646

Mailing address

726 S Tampa Ave
Orlando, FL 32805-3646
Phone (407) 246-1788

Other identifiers 2

IdentifierTypeStateIssuer
3062135MedicaidTN
004517200MedicaidFL

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

LicenseStateTypeSpecialty
16271AZMDObstetrics & Gynecology Physician
29780NCMDObstetrics & Gynecology Physician
021413TNMDObstetrics & Gynecology Physician
ME96883FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Women's Health of North America Past Accepting new patients
Womens Center of Hyde Park LLC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1821085051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S TAMPA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053646",
            "telephone_number": "407-246-1788",
            "fax_number": "407-246-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S TAMPA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053646",
            "telephone_number": "407-246-1788",
            "fax_number": "407-246-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MERRI",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "29780",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "16271",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "021413",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "23158",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME96883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3062135",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004517200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.