Active NPI
Doyle Alex Morrison, MD
- Urology Physician
- Jackson, MS
National Provider Identifier
1861403115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 08681
- Practice address
- 971 Lakeland Drive
Suite 1059 Urology Care Center
Jackson, MS 39216-4609 - Phone
- (601) 982-9333
- Fax
- (601) 982-9320
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 08681 | MS | Primary |
Addresses
Primary practice location
971 Lakeland Drive
Suite 1059 Urology Care Center
Jackson, MS 39216-4609
Mailing address
409 Berkshire Drive
Ridgeland, MS 39157
Phone (601) 853-3680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080625000401 | MS | Practitioner - Urology | 1658442207 | Practice locations: Jackson, MS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08681 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861403115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 BERKSHIRE DRIVE",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-853-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 LAKELAND DRIVE",
"address_2": "SUITE 1059 UROLOGY CARE CENTER",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164609",
"telephone_number": "601-982-9333",
"fax_number": "601-982-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "DOYLE",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "08681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.