Active NPI
Jennifer Nicole Garrett, PA-C
- Medical Physician Assistant
- Austell, GA
National Provider Identifier
1013157569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5543
- Practice address
- 3825 Medical Park Dr Ste 301
Austell, GA 30106-6818 - Phone
- (770) 874-0692
- NPI assigned
- Feb 24, 2009
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5543 | GA | |
| Medical Physician Assistant | 363AM0700X | 5543 | GA | Primary |
Addresses
Primary practice location
3825 Medical Park Dr Ste 301
Austell, GA 30106-6818
Mailing address
3825 Medical Park Dr Ste 301
Austell, GA 30106-6818
Phone (770) 874-0692
Other practice location 1
1250 Upper Hembree Rd Ste B
Roswell, GA 30076-4651
Phone (770) 558-2873
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013157569 | Other | GA | NPI |
| 5543 | Other | GA | GA MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
3820 Medical Park Dr
Suite 1100
Austell, GA 30106-1110
Phone (770) 874-0692
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Doctor's Office, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAEEAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
dba VIPcare
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1396527321
-
dba VIPcare
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1477287720
GA
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1578884516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1013157569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 MEDICAL PARK DR STE 301",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066818",
"telephone_number": "770-874-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MEDICAL PARK DR STE 301",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066818",
"telephone_number": "770-874-0692"
}
],
"practiceLocations": [
{
"address_1": "1250 Upper Hembree Rd Ste B",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764651",
"country_code": "US",
"telephone_number": "770-558-2873",
"fax_number": "888-832-7996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "5543",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "5543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013157569",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MEDICAL BOARD",
"identifier": "5543",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.