Organization Active NPI

Morris Medical Group PLLC

  • General Practice Physician
  • Louisville, KY
National Provider Identifier
1922410935
Registry record updated May 24, 2014
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
03530 Issued in KY
Legal business name
MORRIS MEDICAL GROUP PLLC
Practice address
1941 Bishop LN
#508
Louisville, KY 40218-1922
Phone
(817) 739-7641
Fax
(817) 288-0758
NPI assigned
May 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2014

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

Authorized official

Name
Dr. Jerry W Morris, DO
Title
Managing Member
Phone
(817) 739-7641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 03530 KY Primary

Addresses

Primary practice location

1941 Bishop LN
#508
Louisville, KY 40218-1922

Mailing address

PO Box 96164
Southlake, TX 76092-0126
Phone (817) 739-7641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400889600000",
    "number": "1922410935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96164",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920126",
            "telephone_number": "817-739-7641",
            "fax_number": "817-288-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN",
            "address_2": "#508",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181922",
            "telephone_number": "817-739-7641",
            "fax_number": "817-288-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-05-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-739-7641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KY",
            "license": "03530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2014; 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.