NPIMap

Individual provider Active NPI

William Mark Garney, ARNP-C

  • Family Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1043230535
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1650222 Issued in FL
Practice address
1376 Brickyard Rd
Suite 5
Chipley, FL 32428-6303
Phone
(850) 638-4383
Fax
(850) 638-4195
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1650222 FL Primary

Addresses

Primary practice location

1376 Brickyard Rd
Suite 5
Chipley, FL 32428-6303

Mailing address

1376 Brickyard Rd
Suite 5
Chipley, FL 32428-6303
Phone (850) 638-4383

Other identifiers 2

IdentifierTypeStateIssuer
301428200MedicaidFL
660167700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000408 FL Practitioner - Nurse Practitioner 3476461732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Family Healthcare, P.a.Group PAC ID 2668380924, 2 clinicians

Practice addresses (Care Compare)

877 3Rd St
Suite 4
Chipley, FL 32428-1855
Phone (850) 638-4383

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Family Healthcare, P.a. CurrentSince May 24, 2002 Accepting new patients
Southland Hospitlalist at Chipley, PL. CurrentSince Aug 1, 2014 Accepting new patients
James B Craven MD PA RHC Past Accepting new patients
Bayne Jones Army Community Hospital PastSince Mar 29, 2020 Accepting new patients

Locations

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1360 Brickyard Rd
Fl Co
Chipley, FL 32428
Phone (850) 638-1610

1376 Brickyard Rd
Ste 5
Chipley, FL 32428
Phone (850) 638-4383

877 3rd St
Ste 4
Chipley, FL 32428
Phone (850) 638-4383

Interoperability endpoints

  • Direct secure messaging: william.garney.1@26783.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
N/aChipley, FL, CCN 108947 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director		 May 24, 2002
Nov 18, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 9

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043230535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD",
            "address_2": "SUITE 5",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286303",
            "telephone_number": "850-638-4383",
            "fax_number": "850-638-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD",
            "address_2": "SUITE 5",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286303",
            "telephone_number": "850-638-4383",
            "fax_number": "850-638-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNEY",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1650222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301428200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660167700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

Verify at the official NPI Registry.