Individual provider Active NPI

Garrick Collins, DO

  • Family Medicine Physician
  • Gaylord, MI
National Provider Identifier
1487881439
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020823 Issued in MI
Practice address
825 N Center Ave
Gaylord, MI 49735-1592
Phone
(989) 731-2100
Fax
(989) 731-2205
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02003753A IN
Family Medicine Physician 207Q00000X 5101020823 MI Primary
Family Medicine Physician 207Q00000X E-7401 AR

Addresses

Primary practice location

825 N Center Ave
Gaylord, MI 49735-1592

Mailing address

825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-7708

Other identifiers 1

IdentifierTypeStateIssuer
OM72150OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MI, IN, WA, IL, GA, WV, TN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20120518000522 AR Practitioner - Family PracticePractitioner - Emergency Medicine 9234315409 Reassigns benefits to 6 organizations
I20140206000298 MI Practitioner - Emergency Medicine 9234315409 Reassigns benefits to 4 organizations
I20200219001518 IN Practitioner - Emergency Medicine 9234315409 Reassigns benefits to 3 organizations
I20221208003130 WA Practitioner - Family Practice 9234315409 Reassigns benefits to 1 organization
I20230131003488 IL Practitioner - Family Practice 9234315409 Reassigns benefits to 1 organization
I20230206003169 GA Practitioner - Internal Medicine 9234315409 Reassigns benefits to 1 organization
I20230406002020 WV Practitioner - Family Practice 9234315409 Reassigns benefits to 1 organization
I20230425000167 TN Practitioner - Family Practice 9234315409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3941WVMDDentist
02003753AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 21, 2023 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Ies Arkansas PLLC CurrentSince Aug 1, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Sep 27, 2022 Accepting new patients
Monticello Ess LLC CurrentSince Jan 1, 2022 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Nov 2, 2022 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince May 6, 2020 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 21, 2023 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Dec 1, 2016 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Dec 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Sep 27, 2022 Accepting new patients
Caberfae Emergency Group, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 11, 2023 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Apr 17, 2024 Accepting new patients
Northwest Arkansas HBP Services LLC Family Medicine CurrentSince Oct 21, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC CurrentSince May 15, 2018 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince May 1, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Dec 1, 2021 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Dec 15, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 11, 2023 Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Dec 1, 2016 Accepting new patients

Locations (25 of 31)

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

525 Western Ave
Ste 302
Conway, AR 72034
Phone (501) 328-5515

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

122 Battlefield Crossing Ct
Ringgold, GA 30736
Phone (706) 861-5940

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1487881439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2100",
            "fax_number": "989-731-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GARRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003753A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020823",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OM72150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.