Individual provider Active NPI

Susan Fretwell Garner, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1295845832
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R883880 Issued in MS
Practice address
144 S Thomas St
Tupelo, MS 38801-5312
Phone
(662) 871-5590
Fax
(662) 862-3014
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R883880 MS Primary

Addresses

Primary practice location

144 S Thomas St
Tupelo, MS 38801-5312

Mailing address

144 S Thomas St
Tupelo, MS 38801-5312
Phone (662) 871-5590

Other identifiers 2

IdentifierTypeStateIssuer
051078145OtherALBLUE CROSS
08488768MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100913000226 MS Practitioner - Nurse Practitioner 4385769520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Jul 1, 2021 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Feb 1, 2020 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Oct 1, 2015 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Oct 1, 2015 Accepting new patients
Mantachie Rural Health Care, Inc Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

Interoperability endpoints

  • Direct secure messaging: susan_garner_fnp_hospitalist@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHBA
  • Direct secure messaging: susangarner@nmhs.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1295845832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-871-5590",
            "fax_number": "662-862-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-871-5590",
            "fax_number": "662-862-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "SUSAN",
        "middle_name": "FRETWELL",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R883880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051078145",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08488768",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.