Garrett Shane Surrency, ADVANCED CARE NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

162472 Issued in GA

Practice address

189 Bo James St Ste 105
Clayton, GA 30525-6199

Phone

(706) 782-0016

Fax

(706) 782-0180

NPI assigned

Jul 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14758/brand/1/csg/1/fhir/r4

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.

• Life Point Medical, LLC

  • Medical Specialty Clinic/Center
  • Clayton, GA
  • NPI 1154870533
  Medicare reassignment NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1104348432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "316470654",
            "telephone_number": "229-848-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BO JAMES ST STE 105",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256199",
            "telephone_number": "706-782-0016",
            "fax_number": "706-782-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRENCY",
        "first_name": "GARRETT",
        "middle_name": "SHANE",
        "credential": "ADVANCED CARE NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "162472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephens County Hospital Physician Group, LLC
• Sandy Michelle Stinnett, FNP-BC
• Kristen Prather Stovall, MD
• Claudia Reyd Strickland, PA
• Lloyd S Stuart, M.D.
• Kimberly V Terrell, RD
• The Inner Gardener
• Erica Thiessen, LPC
• Amy Melissa Thomason, FNP-BC
• Alexandra Grace Thompson, FNP

• Acute Care Nurse Practitioner in Clayton, GA
• Providers in Clayton, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.