Individual provider Active NPI

Lindsey Ann Garrison, PA-C

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1316291610
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6657 Issued in GA
Practice address
1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone
(770) 237-3475
Fax
(770) 237-3756
NPI assigned
Nov 8, 2012
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6657 GA Primary

Addresses

Primary practice location

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925

Mailing address

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (770) 237-3475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121218000403 GA Practitioner - Physician Assistant 6002068152
I20220831001219 FL Practitioner - Physician Assistant 6002068152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Medical Partners PLLCGroup PAC ID 1951682426, 14 clinicians

Practice addresses (Care Compare)

333 Tamiami TRL S
Venice, FL 34285-2402

333 Tamiami TRL S
Suite 101
Venice, FL 34285-2425
Phone (941) 375-3006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.82 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6657GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Medical Partners, PLLC CurrentSince Aug 7, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

333 Tamiami Trl S
Ste 101
Venice, FL 34285
Phone (941) 375-3006

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lgarrison@mdpc.directglo.com
  • Direct secure messaging: lindsey.garrison.1@13915.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1316291610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435925",
            "telephone_number": "770-237-3475",
            "fax_number": "770-237-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435925",
            "telephone_number": "770-237-3475",
            "fax_number": "770-237-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.