Individual provider Active NPI

Garrett Kerr, PA-C

  • Physician Assistant
  • Belpre, OH
National Provider Identifier
1043688682
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004429RX Issued in OH
Practice address
2434 Richmiller LN Unit C
Belpre, OH 45714-1075
Phone
(740) 423-3207
Fax
(740) 423-3227
NPI assigned
Sep 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004429RX OH Primary

Addresses

Primary practice location

2434 Richmiller LN Unit C
Belpre, OH 45714-1075

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other practice location 1

400 Matthew St Ste 208
Marietta, OH 45750-1656
Phone (740) 373-5410

Other identifiers 1

IdentifierTypeStateIssuer
0143821MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address garrett.kerr@mmhs.medicity.net
Direct Messaging Address garrett.kerr@mmhs.medicity.net
Direct Messaging Address garrett.kerr@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000718 OH Practitioner - Physician Assistant 3476861964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

2434 Richmiller LN
Belpre, OH 45714-1075

400 Matthew St
Marietta, OH 45750-1656

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004429RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients

Locations

310 W Union St
#102
Athens, OH 45701
Phone (740) 331-6918

2434 Richmiller Ln
Unit C
Belpre, OH 45714
Phone (740) 315-1030

807 Farson St
Ste 204C
Belpre, OH 45714
Phone (740) 423-3207

805 Farson St
Ste 113
Belpre, OH 45714
Phone (740) 401-1930

400 Matthew St
Ste 210
Marietta, OH 45750
Phone (740) 236-4871

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

400 Matthew St
Ste 208
Marietta, OH 45750
Phone (740) 373-5410

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1043688682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 RICHMILLER LN UNIT C",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141075",
            "telephone_number": "740-423-3207",
            "fax_number": "740-423-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Matthew St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501656",
            "country_code": "US",
            "telephone_number": "740-373-5410",
            "fax_number": "740-373-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "GARRETT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004429RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143821",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrett.kerr@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 210",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrett.kerr@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 204C",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrett.kerr@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "2434 Richmiller Ln Unit C",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.