Individual provider Active NPI

Garrett Lee Gilmore, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1093291148
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014808 Issued in OH
Practice address
41 S High St Ste 25
Columbus, OH 43215-6113
Phone
(614) 533-6700
NPI assigned
Jul 12, 2018
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018024675 MO
Family Medicine Physician 207Q00000X 34.014808 OH Primary

Addresses

Primary practice location

41 S High St Ste 25
Columbus, OH 43215-6113

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

1125 Madison St
Jefferson City, MO 65101-5227
Phone (402) 516-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggilmore656624@direct.ohiohealth.com OhioHealth Physician Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720004002 OH Practitioner - Family Practice 8123367927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

41 S High St
Suite 25
Columbus, OH 43215-6113
Phone (614) 533-6740

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.014808OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

41 S High St
Ste 25
Columbus, OH 43215
Phone (614) 224-8555

262 Neil Ave
Ste 230
Columbus, OH 43215
Phone (614) 224-8555

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1093291148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S HIGH ST STE 25",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432156113",
            "telephone_number": "614-533-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Madison St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651015227",
            "country_code": "US",
            "telephone_number": "402-516-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "GARRETT",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-01-25",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018024675",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggilmore656624@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "41 S High St",
            "address_2": "Ste 25",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432156170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.