Active NPI
Monty G. Morris, PA-C
- Medical Physician Assistant
- Justin, TX
National Provider Identifier
1962404822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02619
- Practice address
- 310 W 2ND St
Justin, TX 76247-5023 - Phone
- (940) 648-9900
- Fax
- (940) 648-1600
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02619 | TX | Primary |
Addresses
Primary practice location
310 W 2ND St
Justin, TX 76247-5023
Mailing address
PO Box 68
Justin, TX 76247-0068
Phone (940) 648-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin Family Medical | Current | Accepting new patients |
Locations
310 W 2nd St
Justin, TX 76247
Phone (940) 648-9900
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
- Justin, TX
- NPI 1194175604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1962404822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762470068",
"telephone_number": "940-648-9900",
"fax_number": "940-648-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W 2ND ST",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762475023",
"telephone_number": "940-648-9900",
"fax_number": "940-648-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MONTY",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.