Active NPI
Michael James Morrison, MD
- Orthopaedic Surgery Physician
- Marietta, GA
National Provider Identifier
1972673523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 027613
- Practice address
- 1750 Powder Springs Rd
Ste 510
Marietta, GA 30064 - Phone
- (770) 919-1190
- Fax
- (770) 919-0068
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 027613 | GA | Primary |
Addresses
Primary practice location
1750 Powder Springs Rd
Ste 510
Marietta, GA 30064
Mailing address
1750 Powder Springs Rd
Ste 510
Marietta, GA 30064
Phone (770) 919-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00306732A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000069 | GA | Practitioner - Orthopedic Surgery | 2961679204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027613 | GA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972673523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 POWDER SPRINGS RD",
"address_2": "STE 510",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30064",
"telephone_number": "770-919-1190",
"fax_number": "770-919-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 POWDER SPRINGS RD",
"address_2": "STE 510",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30064",
"telephone_number": "770-919-1190",
"fax_number": "770-919-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "027613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00306732A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.