Jackie Garland

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15237 Issued in OK

Practice address

16400 N May Ave
Edmond, OK 73013-8971

Phone

(405) 471-6800

Fax

(405) 471-6811

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian Health Care Resource CenterGroup PAC ID 0042117590, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Indian Health Care Resource Center

  • Clinic/Center
  • Tulsa, OK
  • NPI 1427034958

  TX

  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1164417044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-471-6800",
            "fax_number": "405-471-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138971",
            "telephone_number": "405-471-6800",
            "fax_number": "405-471-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "JACKIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "15237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jormi D Garcia Tomaw
• Hayley Garcia, RBT
• Ryan Edward Garcia
• Jessica Lynn Gard, COTA/L
• Christian Gardner
• Madison L Garland
• Margaret Garland, LPC
• Michelle Hahn Garrett, LMFT
• Shelby Garrett
• Ashley Morgan Garrison, PA-C

• Family Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.