Tina Garrett, CCSH

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

457 Issued in GA

Practice address

100 Professional PL Ste 307
Carrollton, GA 30117-3872

Phone

(770) 812-5978

Fax

(770) 812-5981

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1114530839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STONEBRIDGE BLVD",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102353",
            "telephone_number": "678-462-4265",
            "fax_number": "770-812-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PL STE 307",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173872",
            "telephone_number": "770-812-5978",
            "fax_number": "770-812-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "TINA",
        "credential": "CCSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "GA",
            "license": "457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bradley Gambrell, M.D.
• Autumn L Garber, CRNA
• Alizon Margaret Garmon, RN
• Holly Haslam Garner, MS, RD, LD
• Jennifer P Garrett, RPH
• Phillip Garza, PTA
• Patrice Gatell, DC
• Joanne Uyecio Gaw, M.D.
• Richard E Gayles, MD
• Paul Douglas Gentry, MD

• Other Specialist/Technologist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Other Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.