Individual provider Active NPI

Karrie Garcia

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1225751142
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
567 Huff St
Lawrenceville, GA 30046-4749
Phone
(561) 654-3874
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

567 Huff St
Lawrenceville, GA 30046-4749

Mailing address

567 Huff St
Lawrenceville, GA 30046-4749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412002947 GA Practitioner - Physician Assistant 6608215439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

1289 Scenic Hwy
Lawrenceville, GA 30045-6358
Phone (770) 972-9000

2650 Lawrenceville Suwanee Rd
Suwanee, GA 30024-4918
Phone (678) 205-5000

2764 W Main St
Snellville, GA 30078-5708
Phone (770) 978-3388

3068 Old Norcross Rd
Duluth
Ga, GA 30096-4914
Phone (770) 925-7232

3490 Pleasant Hill Rd
Duluth, GA 30096-3188
Phone (770) 814-2870

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12176GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorder Center @ Gwinnett Clinic CurrentSince Apr 1, 2024 Accepting new patients
Gwinnett Clinic, LTD CurrentSince Apr 1, 2024 Accepting new patients

Locations

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

Interoperability endpoints

  • Direct secure messaging: karrie.garcia.1@32352.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/32352/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1225751142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 HUFF ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 HUFF ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464749",
            "telephone_number": "561-654-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.