Individual provider Active NPI

Glenn Scott Morris, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1942283270
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17025 Issued in TN
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

Updated by the provider on Mar 5, 2010

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 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

IdentifierTypeStateIssuer
000000000587OtherTNTENNCARE TLC
3388963MedicaidTN
3048915OtherTNBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000067 TN Practitioner - Family Practice 5294816609 Reassigns benefits to 1 organization

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
Church Health Center of Memphis IncGroup PAC ID 7517863392, 14 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Church Health Center of Memphis Inc CurrentSince Aug 1, 1987 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

  • Direct secure messaging: gmorris26349@mlh.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.