Individual provider Active NPI

John Garrett, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1417086364
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
133973 Issued in NC
Practice address
1000 Blythe Blvd
Meb3
Charlotte, NC 28203-5812
Phone
(704) 355-3658
NPI assigned
Mar 5, 2007
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 133973 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Meb3
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Meb3
Charlotte, NC 28203-5812
Phone (704) 355-3658

Other identifiers 2

IdentifierTypeStateIssuer
5911818MedicaidNC
N02050MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100727001047 TX Practitioner - Emergency Medicine 7113078114 Reassigns benefits to 7 organizations
I20221013002054 FL Practitioner - Emergency Medicine 7113078114 Reassigns benefits to 1 organization
I20251105004050 OK Practitioner - Emergency Medicine 7113078114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

5252 W University Dr
Baylor Medical Center at McKinney
McKinney, TX 75071-7822
Phone (469) 764-5000

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133973NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 2, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 2, 2024 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Jul 20, 2015 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Nov 7, 2016 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Nov 7, 2016 Accepting new patients
McKinney Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients

Locations (25 of 26)

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

140 W 151st St S
Glenpool, OK 74033
Phone (918) 321-7000

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 13

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.

View all 13

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1417086364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "133973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911818",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N02050",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.