Individual provider Active NPI

Miyoshi Garrison

  • Home Health Aide
  • Palmetto, GA
National Provider Identifier
1427727775
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
484090 Issued in GA
Practice address
209 Cranford St
Palmetto, GA 30268-1113
Phone
(678) 973-9782
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 484090 GA Primary

Addresses

Primary practice location

209 Cranford St
Palmetto, GA 30268-1113

Mailing address

320 Lanier Ave W Ste 248
Fayetteville, GA 30214-1600
Phone (678) 973-9782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
484090GAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Mimi Cares Personal Care LLC Home Health Aide CurrentSince Nov 1, 2021 Accepting new patients
Mimi Cares Personal Care CurrentSince Nov 21, 2021 Accepting new patients

Locations

320 Lanier Ave W
Ste 248
Fayetteville, GA 30214
Phone (615) 498-2356

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1427727775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 248",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141600",
            "telephone_number": "678-973-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CRANFORD ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681113",
            "telephone_number": "678-973-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MIYOSHI",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "484090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.