Individual provider Active NPI

Morris Wayne Cochran, M.D.

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1861432296
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME137492 Issued in FL
Practice address
5551 US Highway 98
Santa Rosa Beach, FL 32459
Phone
(850) 420-5420
Fax
(850) 244-8011
NPI assigned
Jun 7, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14439 AL
Family Medicine Physician 207Q00000X ME137492 FL Primary

Addresses

Primary practice location

5551 US Highway 98
Santa Rosa Beach, FL 32459

Mailing address

5551 US Highway 98
Santa Rosa Beach, FL 32459
Phone (850) 420-5420

Other practice location 1

33700 Hwy 43
Suite 110
Thomasville, AL 36784-3555
Phone (205) 444-9550

Other identifiers 1

IdentifierTypeStateIssuer
1861432296MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.primarycaresouth.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000789 AL Practitioner - Family Practice 9830170281 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14439ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Red Bay LLC Current Accepting new patients
HH Health System - Shoals LLC CurrentSince Apr 11, 2005 Accepting new patients
Hill Hospital of York CurrentSince Aug 27, 2022 Accepting new patients
HH Health System - Shoals LLC Current Accepting new patients
Hill Hospital of Sumter County CurrentSince Aug 27, 2022 Accepting new patients
Sycamore Physicians LLC CurrentSince Jul 3, 2023 Accepting new patients
Senter Medical Clinic, PC Family Medicine Current Accepting new patients
Affinity Physician Services LLC Past Accepting new patients
St Clair Clinic Past Accepting new patients
Colbert Co Northwest Al Healthcare Authority Family Medicine Past Accepting new patients
Rural Primary Care South-Walton, Inc. PastSince Dec 22, 2019 Accepting new patients

Locations

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

751 Derby Dr
York, AL 36925
Phone (205) 392-5263

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 11

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1861432296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 US HIGHWAY 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-420-5420",
            "fax_number": "850-244-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 US HIGHWAY 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-420-5420",
            "fax_number": "850-244-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33700 Hwy 43",
            "address_2": "SUITE 110",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "AL",
            "postal_code": "367843555",
            "country_code": "US",
            "telephone_number": "205-444-9550",
            "fax_number": "205-314-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "MORRIS",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME137492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861432296",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.primarycaresouth.com/",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "address_1": "5551 US Highway 98",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324593566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.