Active NPI
Peter Brian Garner Jr., LMT
- Massage Therapist
- Winder, GA
National Provider Identifier
1316230295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT006318
- Practice address
- 181 E Broad St
Winder, GA 30680-2299 - Phone
- (770) 868-8222
- NPI assigned
- May 25, 2011
- Last updated
- May 25, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT006318 | GA | Primary |
Addresses
Primary practice location
181 E Broad St
Winder, GA 30680-2299
Mailing address
181 E Broad St
Winder, GA 30680-2299
Phone (770) 868-8222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT006318 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1316230295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 E BROAD ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306802299",
"telephone_number": "770-868-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E BROAD ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306802299",
"telephone_number": "770-868-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "PETER",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT006318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winder, GA
- Jaleynn Fuller
- Ga 1 Ops LLC
- Jessica Rose Gallacher, FNP
- Jonathan Garcia
- Katherine Gardner, MD
- Doy O Gay, M.D.
- Alexis Gaylord, PHARMD
- Georgia CVS Pharmacy LLC (CVS Pharmacy 04389)
- Georgia Hma Physician Management, LLC
- Georgia Reconstructive Foot and Ankle Center LLC (Georgia Reconstructive Foot and Ankle)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.