1770706863 NPI number — FELIX MORRIS M.D., LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770706863 NPI number — FELIX MORRIS M.D., LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FELIX MORRIS M.D., LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770706863
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
416 N SEMINARY ST
Provider Second Line Business Mailing Address:
SUITE 2500
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35630-4657
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-764-7710
Provider Business Mailing Address Fax Number:
256-765-3888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1777 CURTIS DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IUKA
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-764-7710
Provider Business Practice Location Address Fax Number:
256-765-3888
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MULLEN
Authorized Official First Name:
DANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE ADMINISTRATOR
Authorized Official Telephone Number:
256-764-7710

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  00012505 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: 18158 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: 18158 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: 00012505 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 515-07933 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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