Individual provider Active NPI

Jimmy J Morrison, MD

  • Gastroenterology Physician
  • Herrin, IL
National Provider Identifier
1881782654
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036.131531 Issued in IL
Practice address
404 Lincoln Dr
Herrin, IL 62948-3789
Phone
(618) 993-0056
Fax
(618) 993-0752
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M4691 TX
Gastroenterology Physician 207RG0100X 01094030A IN
Gastroenterology Physician 207RG0100X R-4256 AR
Gastroenterology Physician 207RG0100X 14187430-1235 UT
Gastroenterology Physician 207RG0100X 036.131531 IL Primary

Addresses

Primary practice location

404 Lincoln Dr
Herrin, IL 62948-3789

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7826

Other practice location 2

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230

Other practice location 3

3590 W 9000 S Ste 120
West Jordan, UT 84088-8858
Phone (801) 208-1075

Other practice location 4

1225 N State St
Jackson, MS 39202-2064
Phone (601) 988-5281

Other identifiers 2

IdentifierTypeStateIssuer
185127101MedicaidTX
185127103MedicaidTX

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jmorrison22388@sih.direct-ci.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address jmorrison658154@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA, IL, ME, AL, UT, MS7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20070410000586 AR Practitioner - GastroenterologyPractitioner - Internal Medicine 5193637742 Reassigns benefits to 2 organizations
I20100419000827 LA Practitioner - Gastroenterology 5193637742 Reassigns benefits to 2 organizations
I20130219000419 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 5193637742 Reassigns benefits to 2 organizations
I20230103000655 ME Practitioner - Gastroenterology 5193637742 Reassigns benefits to 1 organization
I20240419001520 AL Practitioner - Gastroenterology 5193637742 Reassigns benefits to 1 organization
I20241217001133 UT Practitioner - Gastroenterology 5193637742 Reassigns benefits to 1 organization
I20250310003548 MS Practitioner - Gastroenterology 5193637742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in Shreveport, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7261 Mercy Rd
Omaha, NE 68124-2311

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.131531ILMDGastroenterology Physician
01094030AINMDGastroenterology Physician
14187430-1235UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Apr 14, 2024 Accepting new patients
Conway Regional Medical Center, Inc Gastroenterology CurrentSince Feb 1, 2025 Accepting new patients
Brfhh Monroe LLC CurrentSince Dec 12, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jun 7, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jun 7, 2024 Accepting new patients
Baptist Health Services CurrentSince Apr 14, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 6, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Rapides Healthcare System LLC CurrentSince Jun 13, 2016 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Jun 13, 2016 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Rockford Health Physicians CurrentSince Mar 20, 2019 Accepting new patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 6, 2022 Accepting new patients
Conway Regional Medical Center, Inc. Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Mar 18, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Mar 18, 2025 Accepting new patients

Locations (25 of 27)

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2200 Ada Ave
Ste 201
Conway, AR 72034
Phone (501) 852-1360

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1001 Towson Ave
Ste 100
Fort Smith, AR 72901
Phone (479) 709-7430

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 65
Fort Smith, AR 72901
Phone (479) 441-5475

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

149 North St
Waterville, ME 04901
Phone (207) 622-1959

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1200 N State St
Ste 280
Jackson, MS 39202
Phone (601) 714-6470

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

1144 N Broadway
Ste C
Billings, MT 59101
Phone (406) 238-6380

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

Interoperability endpoints

  • Direct secure messaging: jmorrison670771@direct.bmhcc.org
  • Direct secure messaging: jmorrison658154@direct.parkviewexchange.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1881782654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200",
            "fax_number": "618-529-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LINCOLN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483789",
            "telephone_number": "618-993-0056",
            "fax_number": "618-993-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11937 US Highway 271",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757083154",
            "country_code": "US",
            "telephone_number": "903-877-7826",
            "fax_number": "903-877-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451733",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "206-458-5972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3590 W 9000 S Ste 120",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888858",
            "country_code": "US",
            "telephone_number": "801-208-1075",
            "fax_number": "385-351-6735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-988-5281",
            "fax_number": "601-974-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JIMMY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M4691",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01094030A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "R-4256",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "14187430-1235",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.131531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185127101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185127103",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmorrison22388@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "404 Lincoln Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmorrison658154@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.