Individual provider Active NPI

Denis Marcel Morin, M.D.

  • Family Medicine Physician
  • Buchanan, GA
National Provider Identifier
1932190840
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02446 Issued in GA
Practice address
30 Buchanan Byp
Buchanan, GA 30113-4924
Phone
(770) 646-8281
Fax
(770) 646-3579
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02446 GA Primary

Addresses

Primary practice location

30 Buchanan Byp
Buchanan, GA 30113-4924

Mailing address

30 Buchanan Byp
Buchanan, GA 30113-4924
Phone (770) 646-8281

Other identifiers 2

IdentifierTypeStateIssuer
010007539OtherGARAILROAD MEDICARE PIN
00267286AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000957 GA Practitioner - General Practice 1557345592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

225 Maple View Dr
Suite 102
Carrollton, GA 30117-8471
Phone (770) 812-5678

690 Dallas Hwy
Villa Rica, GA 30180-1263

690 Dallas Hwy 207a
Villa Rica, GA 30180-1263
Phone (770) 456-3646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024466GAMDPharmacist
02446GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Buchanan Family Healthcare Center Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Mar 23, 2020 Accepting new patients
Denis Morin CurrentSince Jan 1, 2003 Accepting new patients
Denis Morin Past Accepting new patients

Locations

109 Allen Memorial Dr
#A
Bremen, GA 30110
Phone (770) 824-2100

30 Buchanan Byp
Buchanan, GA 30113
Phone (770) 646-8281

2908 Business 27
Buchanan, GA 30113
Phone (770) 646-8281

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1932190840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "DENIS",
        "middle_name": "MARCEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "02446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "010007539",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00267286A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, GA

Sources for this page

Verify at the official NPI Registry.