Individual provider Active NPI

Georgia Garrett

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1194601922
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30813 Issued in SC
Practice address
1043 E Montague Ave Ste 101
North Charleston, SC 29405-4974
Phone
(843) 273-6118
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30813 SC Primary

Addresses

Primary practice location

1043 E Montague Ave Ste 101
North Charleston, SC 29405-4974

Mailing address

1043 E Montague Ave Ste 101
North Charleston, SC 29405-4974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 18, 2025 through Aug 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30813SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Wellness Center LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1565 Sam Rittenberg Blvd
Ste 201
Charleston, SC 29407
Phone (843) 793-1353

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1194601922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 E MONTAGUE AVE STE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E MONTAGUE AVE STE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054974",
            "telephone_number": "843-273-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "GEORGIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.