Individual provider Active NPI

Karon Joyce Garman, FNP

  • Family Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1477800704
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17958 Issued in SC
Practice address
215 Town Creek Rd
Aiken, SC 29803-5843
Phone
(803) 508-7651
Fax
(803) 508-7655
NPI assigned
Aug 6, 2012
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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 17958 SC Primary

Addresses

Primary practice location

215 Town Creek Rd
Aiken, SC 29803-5843

Mailing address

2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (866) 389-2727

Other identifiers 2

IdentifierTypeStateIssuer
1477800704OtherSCNPI
NP3487MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121219000158 SC Practitioner - Nurse Practitioner 6901058080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17958SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kgarman@libertydoctors.ssdirect.aprima.com
  • Direct secure messaging: kgraman@tiffanypeds.gwaydirect.com

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1477800704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036183",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035843",
            "telephone_number": "803-508-7651",
            "fax_number": "803-508-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMAN",
        "first_name": "KARON",
        "middle_name": "JOYCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477800704",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3487",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.