Individual provider Active NPI

Dana Leann Garrett, MD

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1205830239
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9700960 Issued in NC
Practice address
125 Chatham St
Sanford, NC 27330-4335
Phone
(919) 775-1115
Fax
(919) 775-1113
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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 9700960 NC Primary

Addresses

Primary practice location

125 Chatham St
Sanford, NC 27330-4335

Mailing address

125 Chatham St
Sanford, NC 27330-4335
Phone (919) 775-1115

Other identifiers 7

IdentifierTypeStateIssuer
0138705OtherNCUNITED HEALTHCARE
080124251OtherNCRR MEDICARE
11033OtherNCBLUE CROSS BLUE SHIELD
8911033MedicaidNC
270331OtherNCMAMSI
76192OtherNCMEDCOST
20898OtherNCPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000593 NC Practitioner - Family Practice 7315098019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Chatham St
Sanford, NC 27330-4335
Phone (919) 775-1115

Hospital & facility affiliations

  • Liberty Home Care Home health agency, Siler City, NC, CCN 347309
  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brick City Primary Care, PLLC Family Medicine CurrentSince Sep 9, 2009 Accepting new patients
Carolina Family Foot Care PC PastSince Sep 9, 2009 Accepting new patients

Locations

125 Chatham St
Sanford, NC 27330
Phone (919) 775-1115

Interoperability endpoints

  • Direct secure messaging: garrett.dana.005.0330089@bcpc.meditab.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1205830239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHATHAM ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304335",
            "telephone_number": "919-775-1115",
            "fax_number": "919-775-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHATHAM ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304335",
            "telephone_number": "919-775-1115",
            "fax_number": "919-775-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "DANA",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0138705",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080124251",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11033",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911033",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "270331",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "76192",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "20898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.