Active NPI
John Garrett Jr., PHD, MSN, MPH,NRAEMT
- Paramedic
- Louisville, KY
National Provider Identifier
1275039166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- A033394
- Practice address
- 501 E Broadway Ste 100
Louisville, KY 40202-1797 - Phone
- (404) 666-6641
- NPI assigned
- Apr 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 753196 | TX | |
| Paramedic | 146L00000X | 1120796 | KY | |
| Basic Emergency Medical Technician | 146N00000X | 560197 | FL | |
| Infection Control Registered Nurse | 163WI0600X | 041394425 | IL | |
| Paramedic | 146L00000X | A033394 | GA | Primary |
Addresses
Primary practice location
501 E Broadway Ste 100
Louisville, KY 40202-1797
Mailing address
2870 Peachtree Rd NW # 915-9165
Atlanta, GA 30305-2918
Phone (404) 666-6641
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A033394 | GA | MD | Paramedic |
| 1120796 | KY | MD | Paramedic |
| 560197 | FL | MD | Basic Emergency Medical Technician |
| 753196 | TX | MD | Basic Emergency Medical Technician |
| 041394425 | IL | MD | Infection Control Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1275039166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 PEACHTREE RD NW # 915-9165",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052918",
"telephone_number": "404-666-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E BROADWAY STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021797",
"telephone_number": "404-666-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHD, MSN, MPH,NRAEMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-01",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "753196",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "KY",
"license": "1120796",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "560197",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "IL",
"license": "041394425",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "GA",
"license": "A033394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.