Active NPI
Glenn Scott Morris, MD
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1942283270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17025
- Practice address
- 1200 Peabody Ave
Memphis, TN 38104-4506 - Phone
- (901) 272-0003
- Fax
- (901) 272-7179
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17025 | TN | Primary |
Addresses
Primary practice location
1200 Peabody Ave
Memphis, TN 38104-4506
Mailing address
PO Box 41527
Memphis, TN 38174-1527
Phone (901) 272-0003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000587 | Other | TN | TENNCARE TLC |
| 3388963 | Medicaid | TN | |
| 3048915 | Other | TN | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Emory University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Concourse Ave
Suite 142
Memphis, TN 38104-2020
Phone (901) 272-0003
Merit-based Incentive Payment System (MIPS)
- Final score
- 93 of 100
- Quality
- 86.11
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Church Health Center of Memphis Inc | Current | Accepting new patients |
Locations
1350 Concourse Ave
Ste 142
Memphis, TN 38104
Phone (901) 272-0003
1200 Peabody Ave
Memphis, TN 38104
Phone (901) 272-0003
Interoperability endpoints
- gmorris26349@mlh.direct-ci.com
- g.morris.p1@direct.churchhealthcenter.nextgenshare.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1427030907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1942283270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41527",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381741527",
"telephone_number": "901-272-0003",
"fax_number": "901-272-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PEABODY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044506",
"telephone_number": "901-272-0003",
"fax_number": "901-272-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "GLENN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "17025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE TLC",
"identifier": "000000000587",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3388963",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3048915",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.