MEDICARE: GERALYNN G. MORRISON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	21806	MS
2	207R00000X	Internal Medicine Physician	21806	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2072791	OTHER	MS	UHC
2	6052782	OTHER	MS	HEALTHSPRING
3	7627279	OTHER	MS	AETNA
4	5732606	OTHER	MS	CIGNA

General Provider Information

NPI Number	:	1710984539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALYNN G. MORRISON M.D.

Provider Business Mailing Address
First Line	:	102 RED MAPLE TRL
Second Line	:
City	:	PETAL
State	:	MS
Zip	:	39465-2678
Country	:	US
Telephone Number	:	601-310-6455
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 RED MAPLE TRL
Second Line	:
City	:	PETAL
State	:	MS
Zip	:	39465-2678
Country	:	US
Telephone Number	:	601-310-6455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/25/2025

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