MR. JACK E MORRISON JR. (NPI# 1558542555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558542555 |
| Entity Type | Individual |
| Full Name | MR. JACK E MORRISON JR. |
| Credential | RN |
| Practice Address |
900 Shugart Rd Dalton GA 30720-2467 |
| Mailing Address |
410 Benton St # 8 Dalton GA 30720-3432 |
| Practice Telephone | 7062705100 |
| Practice Fax Number | 7062705102 |
| Mailing Telephone | 7068769015 |
| Mailing Fax Number | 7068769015 |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2007-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | RN#169445 | GA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093954323 | Jack Wallace Morrison | Dentist | 18850 Dale Mabry Hwy N, Lutz, FL 33548-4978 | 2009-02-10 |
| 1477603868 | Jack Thomas Morrison | Dentist | 2212 W 3rd St, Elk City, OK 73644-4310 | 2007-01-10 |
| Street Address |
900 SHUGART RD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847616 | Madhubala A Patel | Psychiatry & Neurology | 900 Shugart Rd, Dalton, GA 30720-2467 | 2006-11-14 |
| 1790249589 | Sherrie Dunaway | Nurse Practitioner | 900 Shugart Rd, Dalton, GA 30720-2467 | 2019-01-25 |
| 1629558879 | Season Flores | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2018-08-17 |
| 1497270961 | Sean Sweet | Pharmacist | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-08-07 |
| 1952841025 | Kauri Tallant | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-03-08 |
| 1194176057 | Oscar Holliday | Community Health Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-06-22 |
| 1194179655 | Ashley Stevens | Case Manager/Care Coordinator | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-04-20 |
| 1659731552 | Seth Klinehoffer | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-03-04 |
| 1790144376 | Barbara Ward | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-11 |
| 1215395454 | Glennys Soraya Febles | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561747 | Georgia Regional Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1211 Waterville Ct, Alpharetta, GA 30022-5381 | 2020-09-03 |
| 1275161192 | Monte Nido Georgia LLC | Community Based Residential Treatment Facility, Mental Illness | 124 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3004 | 2020-03-27 |
| 1811464035 | Hope Homes Recovery, LLC | Community Based Residential Treatment Facility, Mental Illness | 432 Virginia Rd, Atlanta, GA 30338-4793 | 2018-10-25 |
| 1770066029 | New Beginnings PCh of Columbus, LLC | Community Based Residential Treatment Facility, Mental Illness | 639 Lawyers Ln, Columbus, GA 31906-3812 | 2018-09-12 |
| 1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
| 1326555210 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 101, Riverdale, GA 30274-1502 | 2018-01-02 |
| 1245747138 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 104, Riverdale, GA 30274-1502 | 2018-01-02 |
| 1235646217 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 | 2017-12-29 |
| 1528574431 | House of Concrete Roses, LLC | Community Based Residential Treatment Facility, Mental Illness | 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327 | 2017-12-15 |
| 1508391756 | Mister Life Coach | Community Based Residential Treatment Facility, Mental Illness | 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 | 2017-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.