Active NPI
Andrea Garrison, DO
- Internal Medicine Physician
- Clarksburg, WV
National Provider Identifier
1154861052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4922
- Practice address
- 469 Emily Dr
Clarksburg, WV 26301-5512 - Phone
- (304) 423-5180
- Fax
- (304) 423-5185
- NPI assigned
- Feb 27, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4922 | WV | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
469 Emily Dr
Clarksburg, WV 26301-5512
Mailing address
469 Emily Dr
Clarksburg, WV 26301-5512
Other practice location 1
525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3315
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703003435 | OH | Order and Referring Only - Internal Medicine | 3870037674 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
469 Emily Dr
Clarksburg, WV 26301-5512
PO Box
Morgantown, WV 26507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1154861052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 EMILY DR",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263015512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 EMILY DR",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263015512",
"telephone_number": "304-423-5180",
"fax_number": "304-423-5185"
}
],
"practiceLocations": [
{
"address_1": "525 E Market St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041619",
"country_code": "US",
"telephone_number": "330-375-3315",
"fax_number": "330-375-7779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRISON",
"first_name": "ANDREA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "4922",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.