Nefretiti Mer-En-Ra Garrison-North, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2011012785 Issued in MO

Practice address

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

Phone

(573) 331-5770

Fax

(573) 331-3974

NPI assigned

Aug 2, 2005

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Nefretiti Mer-En-Ra Garrison Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Baylor College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Direct Provider of Healthcare Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 059415
• Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Seven Star Hospital Associates Inc.

  dba Seven Star Radiology

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  • Hospitalist Physician
  • Hemet, CA
  • NPI 1942803044
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Direct Provider of Healthcare Services, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1003056292
  Care Compare affiliation
• KPC Global Medical Centers, Inc.

  dba Hemet Global Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1114239068
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1023019015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-5770",
            "fax_number": "573-331-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON-NORTH",
        "first_name": "NEFRETITI",
        "middle_name": "MER-EN-RA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2011012785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011012785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEFRETITI",
            "last_name": "GARRISON",
            "middle_name": "MER-EN-RA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magdalene Marie Garner, LPC
• Sarah E Garner
• Michelle Ann Garnett, CPNP
• Keely J Garrett Felts, FNP
• Angela Jo Garrett, DPT
• Olivia Jo Renner Garvey, DO
• Gary S. Olson, M.D., P.C.
• Gastroenterology Associates of Southeast Mo, PC
• Mark L. Gates, MD
• Morgan Lynn Gates, FNP-C

• Internal Medicine Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.

Verify at the official NPI Registry.