Individual provider Active NPI

Kevin Franklin Garris, FNP-C

  • Family Nurse Practitioner
  • Fulton, AL
National Provider Identifier
1053883561
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-174834 Issued in AL
Practice address
218 Main Street
Fulton, AL 36446
Phone
(334) 636-4823
Fax
(334) 636-1702
NPI assigned
Dec 21, 2018
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903078 MS
Family Nurse Practitioner 363LF0000X 1-174834 AL Primary

Addresses

Primary practice location

218 Main Street
Fulton, AL 36446

Mailing address

24B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190718000038 AL Practitioner - Nurse Practitioner 9234464843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of ClarkeGroup PAC ID 2961809736, 9 clinicians

Practice addresses (Care Compare)

24 B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-174834ALMDFamily Nurse Practitioner
903078MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Clarke CurrentSince Aug 1, 2021 Accepting new patients
Physicians Care of Clarke CurrentSince Aug 1, 2021 Accepting new patients
Physicians Care of Clarke Past Accepting new patients

Locations

24 Camden Byp
#B
Camden, AL 36726
Phone (334) 882-1919

127 Clark St
Ste Cd
Grove Hill, AL 36451
Phone (251) 275-1268

31431 AL Highway 10
Sweet Water, AL 36782
Phone (334) 636-5311

33621 Highway 43
Thomasville, AL 36784
Phone (334) 636-5311

33621 Highway 43
Ste 202
Thomasville, AL 36784

33650 Highway 43
Thomasville, AL 36784
Phone (334) 636-4403

Interoperability endpoints

  • Direct secure messaging: kevingarris@huey.kidd.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1053883561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-882-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN STREET",
            "city": "FULTON",
            "state": "AL",
            "postal_code": "36446",
            "telephone_number": "334-636-4823",
            "fax_number": "334-636-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIS",
        "first_name": "KEVIN",
        "middle_name": "FRANKLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-174834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, AL

Sources for this page

Verify at the official NPI Registry.