Active NPI
Ali Al Garatli, MD
- Psychiatry Physician
- Johnson City, TN
National Provider Identifier
1124122114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33785
- Practice address
- 109 West Watauga Avenue
Johnson City, TN 37605 - Phone
- (423) 232-2600
- Fax
- (423) 232-2646
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101238440 | VA | |
| Psychiatry Physician | 2084P0800X | 33785 | TN | Primary |
Addresses
Primary practice location
109 West Watauga Avenue
Johnson City, TN 37605
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278258WAT | Other | ANTHEM PREF TRIGON | |
| 5629853 | Other | FIRST HEALTH | |
| 187078 RIDGEVIEW | Other | ANTHEM PROF TRIGON | |
| 187078 RIDGEVIEW | Other | ANTHEM PREF TRIGON | |
| 278259BAX | Other | ANTHEM PREF TRIGON | |
| 278261 CTC | Other | ANTHEM PROF TRIGON | |
| 278261 CTC | Other | ANTHEM PREF TRIGON | |
| 4002680 | Other | MAGELLAN SUMMIT | |
| 278259BAX | Other | ANTHEM PROF TRIGON | |
| 278258WAT | Other | ANTHEM PROF TRIGON | |
| 4002680 | Other | MAGELLAN PINNACLE | |
| 4002680 | Other | MAGELLAN NAVIGATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33785 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124122114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WEST WATAUGA AVENUE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37605",
"telephone_number": "423-232-2600",
"fax_number": "423-232-2646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARATLI",
"first_name": "ALI",
"middle_name": "AL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101238440",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "33785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "278258WAT",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5629853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "187078 RIDGEVIEW",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "187078 RIDGEVIEW",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "278259BAX",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "278261 CTC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "278261 CTC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "4002680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "278259BAX",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "278258WAT",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "4002680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "4002680",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.