Active NPI
Cynthia Colson Garrett, M.D.
- Family Medicine Physician
- Jackson, MS
National Provider Identifier
1295963007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AU5009697-1500
- Practice address
- 6250 Old Canton Rd Ste 100
Jackson, MS 39211-2946 - Phone
- (601) 957-1015
- Fax
- (601) 956-9721
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AU5009697-1500 | MS | Primary |
Addresses
Primary practice location
6250 Old Canton Rd Ste 100
Jackson, MS 39211-2946
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255
Other practice location 1
1815 Hospital Dr
Jackson, MS 39204-3425
Phone (601) 815-5700
Other practice location 2
1815 Hospital Dr
Jackson, MS 39204-3425
Phone (601) 815-5700
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU5009697-1500 | MS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295963007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"telephone_number": "901-227-3255",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 OLD CANTON RD STE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112946",
"telephone_number": "601-957-1015",
"fax_number": "601-956-9721"
}
],
"practiceLocations": [
{
"address_1": "1815 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392043425",
"country_code": "US",
"telephone_number": "601-815-5700",
"fax_number": "601-346-5708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1815 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392043425",
"country_code": "US",
"telephone_number": "601-815-5700",
"fax_number": "601-346-5708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "CYNTHIA",
"middle_name": "COLSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "AU5009697-1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.