Individual provider Active NPI

Gary Forrister, MD

  • Psychiatry Physician
  • Yarmouth Port, MA
National Provider Identifier
1467402685
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
78006 Issued in MA
Practice address
923 Route 6a
Unit W
Yarmouth Port, MA 02675-2159
Phone
(774) 994-8376
Fax
(774) 994-8642
NPI assigned
May 10, 2006
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 78006 MA Primary

Addresses

Primary practice location

923 Route 6a
Unit W
Yarmouth Port, MA 02675-2159

Mailing address

923 Route 6a
Unit W
Yarmouth Port, MA 02675-2159
Phone (774) 994-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000767 MA Practitioner - Psychiatry 8921037599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Warren Alpert Medical School of Brown University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

923 Route 6a
Unit W
Yarmouth Port, MA 02675-2159
Phone (774) 994-8376

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Forrister M.D. P.C. Psychiatry CurrentSince Jul 10, 2014 Accepting new patients

Locations

30 Higgins Crowell Rd
West Yarmouth, MA 02673
Phone (508) 240-7964

30 Higgins Crowell Rd
Ste 4
West Yarmouth, MA 02673
Phone (508) 240-7964

923 Route 6A
Ste W
Yarmouth Port, MA 02675
Phone (774) 994-8376

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1467402685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ROUTE 6A",
            "address_2": "UNIT W",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "774-994-8376",
            "fax_number": "774-994-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 ROUTE 6A",
            "address_2": "UNIT W",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "774-994-8376",
            "fax_number": "774-994-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRISTER",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "78006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.