Active NPI
Garrett'S Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Winter Haven, FL
National Provider Identifier
1235175605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 402
- Legal business name
- GARRETT'S MEDICAL SUPPLY INC
- Practice address
- 485 1St St N
Winter Haven, FL 33881-4114 - Phone
- (863) 293-9747
- Fax
- (863) 295-9547
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Jeannine Russell
- Title
- President
- Phone
- (863) 293-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 402 | FL | Primary |
Addresses
Primary practice location
485 1St St N
Winter Haven, FL 33881-4114
Mailing address
485 1St St N
Winter Haven, FL 33881-4114
Phone (863) 293-9747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145930001 | Other | MEDICARE PTAN | |
| 028707500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075657 | FL | DME Supplier - Medical Supply Company | 3476679010 | Practice locations: Winter Haven, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Garretts Medical Supply Inc | Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Garrett'S Medical Supply Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Winter Haven, FL
- NPI 1922773605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1235175605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814114",
"telephone_number": "863-293-9747",
"fax_number": "863-295-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814114",
"telephone_number": "863-293-9747",
"fax_number": "863-295-9547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARRETT'S MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "JEANNINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-293-9747"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0145930001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028707500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.