Individual provider Active NPI

Gennifer Meilyse Garmon

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1336569433
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
S1101 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 325
Fort Worth, TX 76104-2175
Phone
(817) 887-9389
Fax
(817) 887-9392
NPI assigned
Apr 16, 2014
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X S1101 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 325
Fort Worth, TX 76104-2175

Mailing address

6537 Preston Rd
Plano, TX 75024-2610
Phone (972) 484-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904000889 TX Practitioner - Infectious Disease 7810295011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Doctors, PAGroup PAC ID 1557345774, 17 clinicians

Practice addresses (Care Compare)

2636 Tibbets Dr
Suite 110
Bedford, TX 76022-6919
Phone (817) 585-0065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Doctors, PA Infectious Disease CurrentSince Oct 1, 2019 Accepting new patients

Locations

2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065

1325 Pennsylvania Ave
Ste 325
Fort Worth, TX 76104
Phone (817) 878-5325

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

6537 Preston Rd
Plano, TX 75024
Phone (972) 484-7700

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Interoperability endpoints

  • Direct secure messaging: ggarmon@iddoctors.ssdirect.aprima.com

Organizations & group practices 1

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 5

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1336569433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6537 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242610",
            "telephone_number": "972-484-7700",
            "fax_number": "972-484-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 325",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042175",
            "telephone_number": "817-887-9389",
            "fax_number": "817-887-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMON",
        "first_name": "GENNIFER",
        "middle_name": "MEILYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "S1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.