Organization Active NPI

John T. Morris, III, MD, PC

  • Nephrology Physician
  • Memphis, TN
National Provider Identifier
1942418546
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
29278 Issued in TN
Legal business name
JOHN T. MORRIS, III, MD, PC
Practice address
780 Truse Pkwy Ste 102
Memphis, TN 38117-5361
Phone
(901) 288-6255
Fax
(901) 757-0208
NPI assigned
May 18, 2007
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. John Thomas Morris III, MDNPI 1235185315
Title
Owner
Phone
(901) 288-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 29278 TN Primary

Addresses

Primary practice location

780 Truse Pkwy Ste 102
Memphis, TN 38117-5361

Mailing address

780 Truse Pkwy Ste 102
Memphis, TN 38117-5361
Phone (901) 288-6255

Other identifiers 5

IdentifierTypeStateIssuer
P00077071OtherGARAILROAD MEDICARE
38157222MedicaidTN
1623078MedicaidMS
132825001MedicaidAR
208875518MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070507000300 MS Part B Supplier - Clinic/Group Practice 3173629250 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN; Southaven, MS
O20071227000515 TN Part B Supplier - Clinic/Group Practice 3173629250 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548

5885 Ridgeway Center Pkwy
Ste 101
Memphis, TN 38120
Phone (901) 288-6255

780 Truse Pkwy
Ste 102
Memphis, TN 38117
Phone (901) 259-5960

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1942418546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 TRUSE PKWY STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175361",
            "telephone_number": "901-288-6255",
            "fax_number": "901-763-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 TRUSE PKWY STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175361",
            "telephone_number": "901-288-6255",
            "fax_number": "901-757-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. MORRIS, III, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-288-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "29278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00077071",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38157222",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623078",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132825001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208875518",
            "state": "MO"
        }
    ],
    "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 Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.