Tabitha T Garrison, FNP
Individual provider Active NPI Pain Medicine Physician · Broadway, VA
NPI 1205990983 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1205990983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 0024167218 (VA)
- Practice address
- 173 East Springbrook Road
Broadway, VA 22815 - Phone
- (540) 901-7028
- Fax
- (540) 901-2599
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Shenandoah Pain and Palliative Care Clinic, LLC
Practice addresses (Care Compare)
173 E Springbrook Rd
Broadway, VA 22815-9526
Phone (540) 901-7028
Hospital & facility affiliations
- Sentara RMH Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 76.28
- Improvement activities
- 40
- Cost
- 80.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070604000710 | VA | Practitioner - Nurse Practitioner | 4486752110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Pain and Palliative Care Clinic, LLC | Current |
Accepting new patients |
Locations
173 E Springbrook Rd
Broadway, VA 22815
Phone (540) 896-5400
Interoperability endpoints
- https://api.platform.athenahealth.com/20899/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 0024167218 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024167218 | VA | |
| Pain Medicine Physician | 208VP0000X | 0024167218 | VA | Yes |
Addresses
Primary practice location
173 East Springbrook Road
Broadway, VA 22815
Mailing address
173 East Springbrook Road
Broadway, VA 22815
Phone (540) 901-7028
Other providers in Broadway, VA
- Shana Sherman Daugherty
- Miguel A Delgado
- Donald E. Rellins, Jr. DDS PC
- Jessica Lynn Dove
- Kathryn G Gallo
- Grindstone Counseling, LLC
- Jennifer Lee Grove
- Robert Dover Harris
- Todd Hedinger
- Kathie Hiles
All providers in Broadway, VA · Pain Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.