Active NPI
Jeffery Scott Garmon, C.PED
- Specialist
- Hickory, NC
National Provider Identifier
1013041904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 332B00000X
- Practice address
- 20 2ND St NW
Hickory, NC 28601-6105 - Phone
- (828) 328-9844
- Fax
- (828) 324-4059
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 332B00000X | NC | Primary |
Addresses
Primary practice location
20 2ND St NW
Hickory, NC 28601-6105
Mailing address
20 2ND St NW
Hickory, NC 28601-6105
Phone (828) 328-9844
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704439 | Medicaid | NC | |
| 7795233 | Medicaid | NC | |
| 046Y5 | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332B00000X | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JS Garmon Enterprises Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hickory, NC
- NPI 1265594956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013041904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 2ND ST NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016105",
"telephone_number": "828-328-9844",
"fax_number": "828-324-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 2ND ST NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016105",
"telephone_number": "828-328-9844",
"fax_number": "828-324-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARMON",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "C.PED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704439",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795233",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "046Y5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.