Sally A Morriss, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA389 Issued in AL

Practice address

1751 Charleston Way
Birmingham, AL 35216-4886

Phone

(205) 419-8200

Fax

(205) 419-8213

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sally A Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550
  NPD
• Alabama PA on Call, LLC

  • Physician Assistant
  • Birmingham, AL
  • NPI 1851528533
  NPD (past)
• Jason D. Cobb, MD, LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1639576887
  NPD (past)
• Neurology Neurodiagnostic Lab LLC

  • Neurology Physician
  • Pelham, AL
  • NPI 1417165127
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1871657122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CHARLESTON WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164886",
            "telephone_number": "205-419-8200",
            "fax_number": "205-419-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 CHARLESTON WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164886",
            "telephone_number": "205-419-8200",
            "fax_number": "205-419-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISS",
        "first_name": "SALLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556038",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "JOHNSON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared S Morrison, PA-C
• Jessica Barlow Morrison, CRNP
• Kristen Michelle Morrison
• Rebecca Frances Morrison, CRNP
• Sharmeeka Morrison, CRNP
• Toni Rashan Morrissette-Smith, RN
• Kacy Morrissette, OTR/L
• Nita Morrissette, CRNA
• Adriana Louise Morros, CRNA
• Olga Kristina Morros, CRNA

• Surgical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.