Morisson Jacquitte, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

045838 Issued in GA

Practice address

316 N Broad St
Winder, GA 30680-2150

Phone

(678) 838-1585

Fax

(865) 777-0910

NPI assigned

Jul 29, 2006

Last updated

Jan 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resource Anesthesia Barrow Inc.Group PAC ID 2769633114, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Resource Anesthesia Barrow Inc.

  • Certified Registered Nurse Anesthetist
  • Winder, GA
  • NPI 1841546892
  Medicare reassignment Care Compare group NPD
• Ambulatory Surgery Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1336328293
  Medicare reassignment NPD
• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1093947236
  Medicare reassignment NPD
• Piedmont Anesthesia LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1700474244
  Medicare reassignment NPD
• Rockdale Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Conyers, GA
  • NPI 1619028396
  Medicare reassignment NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Cedartown, GA
  • NPI 1952704942
  NPD
• Monroe Anesthesia Services

  • Anesthesiology Physician
  • Winder, GA
  • NPI 1255482550
  NPD
• South Shore Anesthesiology, P.C.

  • Specialist
  • Hollis, NY
  • NPI 1861799587
  NPD (past)

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

• NGMC Barrow LLC

  dba NGMC Barrow

  • General Acute Care Hospital
  • Winder, GA
  • NPI 1881144889
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1942214374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "SUITE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340946",
            "telephone_number": "877-277-9030",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802150",
            "telephone_number": "678-838-1585",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUITTE",
        "first_name": "MORISSON",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "045838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000939298C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivydale Wellness Center LLC (Ivydale Wellness Clinic)
• Ivydale Wellness Center LLC (Ivydale Wellness Center)
• J-Christy Inc (Winder Family Vision Care)
• Chelsea Marie Jackovitch, HAD
• Randi Jacobsen
• Joan Theresa James
• Jayhelta Home Care LLC
• Mislande Jean Baptiste
• Jennifer Won DDS, LLC
• Jannie House Jennings, M.ED., CCC-SLP

• Anesthesiology Physician in Winder, GA
• Providers in Winder, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.