Provider Demographics
NPI:1255064176
Name:MORRIS, NIGEL SHELDON
Entity type:Individual
Prefix:
First Name:NIGEL
Middle Name:SHELDON
Last Name:MORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 MULKEY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1182
Mailing Address - Country:US
Mailing Address - Phone:770-745-5101
Mailing Address - Fax:
Practice Address - Street 1:1610 MULKEY RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1182
Practice Address - Country:US
Practice Address - Phone:770-745-5101
Practice Address - Fax:678-239-0994
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD305063213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist