Individual provider Active NPI

Deshawnda Garnett, MSN

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1417373531
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN188634 Issued in GA
Practice address
950 Sideline CT
Stockbridge, GA 30281-3552
Phone
(404) 312-3984
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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 RN188634 GA Primary

Addresses

Primary practice location

950 Sideline CT
Stockbridge, GA 30281-3552

Mailing address

950 Sideline CT
Stockbridge, GA 30281-3552
Phone (404) 312-3984

Other identifiers 1

IdentifierTypeStateIssuer
F0913433OtherGAAMERCIAN ACADEMY OF NURSE PRACTITIONERS CETIFICATION PROGRAM

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
I20140514002357 GA Practitioner - Nurse Practitioner 8628291903 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN188634GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Aug 10, 2015 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2014 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2014 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1417373531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SIDELINE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813552",
            "telephone_number": "404-312-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SIDELINE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813552",
            "telephone_number": "404-312-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "DESHAWNDA",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN188634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERCIAN ACADEMY OF NURSE PRACTITIONERS CETIFICATION PROGRAM",
            "identifier": "F0913433",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.