Active NPI
Glenn F Morris, MD
- Specialist
- Flowood, MS
National Provider Identifier
1881789485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7038
- Practice address
- 4290 Lakeland Drive, Ste a
Flowood, MS 39232 - Phone
- (601) 932-0083
- Fax
- (601) 932-8124
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 7038 | MS | Primary |
Addresses
Primary practice location
4290 Lakeland Drive, Ste a
Flowood, MS 39232
Mailing address
4290 Lakeland Drive, Ste a
Flowood, MS 39232
Phone (601) 932-0083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120125 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7038 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careplus Lakeview Family Medicine | Past | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Clinton, MS
- NPI 1942621024
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881789485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 LAKELAND DRIVE, STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-932-0083",
"fax_number": "601-932-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4290 LAKELAND DRIVE, STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-932-0083",
"fax_number": "601-932-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "GLENN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "7038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120125",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flowood, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.