Active NPI
Brick City Primary Care, PLLC
- Family Medicine Physician
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9700960
- Legal business name
- BRICK CITY PRIMARY CARE, PLLC
- Practice address
- 125 Chatham St
Sanford, NC 27330-4335 - Phone
- (919) 776-7725
- Fax
- (919) 776-0511
- NPI assigned
- May 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana L Garrett, M.D.
- Title
- Partner
- Phone
- (919) 776-7725
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9700960 | NC | Primary |
Addresses
Primary practice location
125 Chatham St
Sanford, NC 27330-4335
Mailing address
PO Box 237
Sanford, NC 27331-0237
Phone (919) 776-7725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G38837 | Other | NC | UPIN |
| 8911033 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1104868 | Brick City Primary Care PLLC | Provider-performed microscopy | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
615 Wicker St
Sanford, NC 27330
Phone (919) 777-0446
125 Chatham St
Sanford, NC 27330
Phone (919) 775-1115
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sanford, NC
- NPI 1205830239
-
- Medical Physician Assistant
- Sanford, NC
- NPI 1881664308
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1629505813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1003050238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237",
"city": "SANFORD",
"state": "NC",
"postal_code": "273310237",
"telephone_number": "919-776-7725",
"fax_number": "919-776-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CHATHAM ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304335",
"telephone_number": "919-776-7725",
"fax_number": "919-776-0511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRICK CITY PRIMARY CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "919-776-7725",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "9700960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G38837",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911033",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.