Individual provider Active NPI

James Robert Garrett, NP

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1396215703
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN242896 Issued in GA
Practice address
3790 Old US Highway 41 N Ste B
Valdosta, GA 31602-6866
Phone
(229) 241-8811
Fax
(229) 375-0392
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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 RN242896 GA Primary

Addresses

Primary practice location

3790 Old US Highway 41 N Ste B
Valdosta, GA 31602-6866

Mailing address

3790 Old US Highway 41 N Ste B
Valdosta, GA 31602-6866
Phone (229) 241-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190417001385 GA Practitioner - Nurse Practitioner 7517208614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas D Fausett Jr MD PCGroup PAC ID 8224202601, 2 clinicians

Practice addresses (Care Compare)

707 N Parrish Ave
Adel, GA 31620-1521
Phone (229) 896-7007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tia S Sanderlin MD PC CurrentSince Jun 1, 2021 Accepting new patients
The Migraine and Spine Clinic of Valdosta LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

707 N Parrish Ave
Adel, GA 31620
Phone (229) 896-7007

3315 N Valdosta Rd
Ste A
Valdosta, GA 31602
Phone (229) 292-2074

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 1

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1396215703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026866",
            "telephone_number": "229-241-8811",
            "fax_number": "229-375-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD US HIGHWAY 41 N STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026866",
            "telephone_number": "229-241-8811",
            "fax_number": "229-375-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN242896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.