Healthcare Provider Details

I. General information

NPI: 1992328025
Provider Name (Legal Business Name): PATRICK JOSEPH MORRISSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 RANDOLPH RD FL 1
CHARLOTTE NC
28207-1101
US

IV. Provider business mailing address

4601 PARK RD STE 300
CHARLOTTE NC
28209-2290
US

V. Phone/Fax

Practice location:
  • Phone: 704-323-3000
  • Fax: 704-323-3537
Mailing address:
  • Phone: 704-696-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD20611
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2026-02883
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: