Individual provider Active NPI

Angelo J Garbarino Jr., MD

  • Family Medicine Physician
  • Newport, TN
National Provider Identifier
1215912647
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7410 Issued in TN
Practice address
407 4TH St
Newport, TN 37821-3755
Phone
(423) 623-6240
Fax
(423) 623-0102
NPI assigned
Dec 8, 2005
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 7410 TN Primary

Addresses

Primary practice location

407 4TH St
Newport, TN 37821-3755

Mailing address

407 4TH St
Newport, TN 37821-3755
Phone (423) 623-6240

Other identifiers 1

IdentifierTypeStateIssuer
3171338MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7410TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Practice Center PC Family Medicine Current Accepting new patients

Locations

1026 Highway 92 S
Dandridge, TN 37725
Phone (865) 397-6243

407 4th St
Newport, TN 37821
Phone (423) 623-6240

1403 State St
White Pine, TN 37890
Phone (423) 674-6603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1215912647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBARINO",
        "first_name": "ANGELO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "7410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.