Active NPI
John T. Morris, III, MD, PC
- Nephrology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 29278
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Thomas Morris III, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00077071 | Other | GA | RAILROAD MEDICARE |
| 38157222 | Medicaid | TN | |
| 1623078 | Medicaid | MS | |
| 132825001 | Medicaid | AR | |
| 208875518 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Satellite WellBound of Memphis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1306258744
Member Of
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.
-
- Nephrology Physician
- Memphis, TN
- NPI 1134138761
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.