Individual provider Active NPI

Billy Morris

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1861446197
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102941 Issued in FL
Practice address
708 Del Prado Blvd
Suite 9
Cape Coral, FL 33990-5616
Phone
(239) 574-5864
Fax
(239) 574-1451
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102941 FL Primary

Addresses

Primary practice location

708 Del Prado Blvd
Suite 9
Cape Coral, FL 33990-5616

Mailing address

708 Del Prado Blvd
Suite 9
Cape Coral, FL 33990-5616
Phone (239) 574-5864

Other identifiers 2

IdentifierTypeStateIssuer
292105700MedicaidFL
290136OtherFLAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000667 FL Practitioner - Physician Assistant 5799737672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102941FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Emergency Physicians Past Accepting new patients
All X Ray Diagnostic Services Corp Physician Assistant Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1861446197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "SUITE 9",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "telephone_number": "239-574-5864",
            "fax_number": "239-574-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "SUITE 9",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "telephone_number": "239-574-5864",
            "fax_number": "239-574-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "BILLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292105700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "290136",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.