NPIMap

Individual provider Active NPI

David C Morris, M.D.

  • Family Medicine Physician
  • West Columbia, SC
National Provider Identifier
1952490864
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 9354 Issued in SC
Practice address
3630 Sunset Blvd
West Columbia, SC 29169-3052
Phone
(803) 779-1420
Fax
(803) 931-0676
NPI assigned
Oct 11, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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 MD 9354 SC Primary

Addresses

Primary practice location

3630 Sunset Blvd
West Columbia, SC 29169-3052

Mailing address

1910 Gregg St
Columbia, SC 29201-2618
Phone (803) 779-1420

Other identifiers 1

IdentifierTypeStateIssuer
P00305516OtherSCSC MEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000499 SC Practitioner - Family Practice 1052331444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The PracticeGroup PAC ID 3678821063, 4 clinicians

Practice addresses (Care Compare)

1910 Gregg St
Columbia, SC 29201-2618
Phone (803) 779-5959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9359SCMDClinical Social Worker
MD 9354SCMDFamily Medicine Physician
4107SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Practice Family Medicine CurrentSince Jun 20, 2018 Accepting new patients
Family Medicine Centers of South Carolina, P.a. Past Accepting new patients

Locations

1910 Gregg St
Columbia, SC 29201
Phone (803) 779-1420

Interoperability endpoints

  • Direct secure messaging: dmorris54815@direct.ghs.myhfn.org
  • FHIR API: https://api.platform.athenahealth.com/17912/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1952490864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693052",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD 9354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICARE RR",
            "identifier": "P00305516",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.