Active NPI
Veronica E Garrett, M.D.
- Obstetrics & Gynecology Physician
- Conyers, GA
National Provider Identifier
1447224324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 039106
- Practice address
- 1415 Milstead Rd NE
Suite a
Conyers, GA 30012 - Phone
- (678) 413-0858
- Fax
- (678) 413-3340
- NPI assigned
- Feb 15, 2006
- Last updated
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 039106 | GA | Primary |
Addresses
Primary practice location
1415 Milstead Rd NE
Suite a
Conyers, GA 30012
Mailing address
1415 Milstead Rd NE
Suite a
Conyers, GA 30012
Phone (678) 413-0858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000633619J | Medicaid | GA | |
| 000633619K | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039106 | GA | MD | Obstetrics & Gynecology Physician |
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.
-
- Obstetrics & Gynecology Physician
- Conyers, GA
- NPI 1376569459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1447224324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 MILSTEAD RD NE",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "30012",
"telephone_number": "678-413-0858",
"fax_number": "678-413-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 MILSTEAD RD NE",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "30012",
"telephone_number": "678-413-0858",
"fax_number": "678-413-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "VERONICA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "039106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000633619J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000633619K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.