Individual provider Active NPI

Deanna Cheree Morris

  • Gerontology Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1992423057
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11013867 Issued in FL
Practice address
8021 Philips Hwy Ste 1
Jacksonville, FL 32256-7460
Phone
(904) 323-0954
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11013867 FL Primary
Adult Health Nurse Practitioner 363LA2200X 11013867 FL

Addresses

Primary practice location

8021 Philips Hwy Ste 1
Jacksonville, FL 32256-7460

Mailing address

34308 Loblolly LN
Callahan, FL 32011-8748
Phone (904) 206-0427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118002027 FL Practitioner - Nurse Practitioner 9739557935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians
Total Foot Care and Wellness Clinic, LLCGroup PAC ID 3870892805, 13 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

8021 Philips Hwy
Suite 1
Jacksonville, FL 32256-7460
Phone (904) 323-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11013867FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Jan 18, 2025 Accepting new patients
Total Foot Care and Wellness Clinic, LLC CurrentSince Oct 1, 2022 Accepting new patients
Clay County Podiatry Associates PA PastSince Oct 1, 2022 Accepting new patients

Locations

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

8613 Old Kings Rd S
Ste 301
Jacksonville, FL 32217
Phone (904) 323-0954

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

630 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 249-4645

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1992423057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34308 LOBLOLLY LN",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118748",
            "telephone_number": "904-206-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 PHILIPS HWY STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567460",
            "telephone_number": "904-323-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DEANNA",
        "middle_name": "CHEREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11013867",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11013867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.