Renee K Garrett, MHS, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105431 Issued in FL

Practice address

4796 Hodges Blvd Ste 101
Jacksonville, FL 32224-2209

Phone

(904) 449-7246

Fax

(904) 719-7571

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Florida Institute of Pain Medicine LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1194056283
  NPD (past)
• Jacksonville Spine Center PA

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1881643757
  NPD (past)
• Memorial Neurosurgery Group LLC

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1487860284
  NPD (past)
• Georgia Spine & Pain Centers

  • Interventional Pain Medicine Physician
  • Waycross, GA
  • NPI 1134769714
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1013198530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734905",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "RENEE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Garrett, MSW
• Kellie Garrett, M.S.
• Landry Addison Garrett, PA-C
• Michael Garrett
• Rekia Garrett, SLC
• Yvette Monique Garrett
• Amanda Garrettson, M.A. BCBA
• Valerie Garrido Crespo
• Derek Garris, PT,DPT
• Erika A. Garrison, PA-C

• Surgical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.