NPIMap

Individual provider Active NPI

Clayton Andrew Garrett, DO

  • Family Medicine Physician
  • Tishomingo, OK
National Provider Identifier
1487918553
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5212 Issued in OK
Practice address
817 E 6TH St
Tishomingo, OK 73460
Phone
(580) 371-2392
NPI assigned
Jul 3, 2012
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5212 OK Primary

Addresses

Primary practice location

817 E 6TH St
Tishomingo, OK 73460

Mailing address

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000248 OK Practitioner - Family Practice 9931358074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1592 S Virginia Ave
Atoka, OK 74525-3246
Phone (580) 889-6621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5212OKMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hma, LLC CurrentSince Nov 1, 2024 Accepting new patients
Durant Hma Physician Management, LLC CurrentSince May 15, 2022 Accepting new patients
Marshall County Hma LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Sep 5, 2012 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
OB/GYN Associates of Durant Past Accepting new patients
Atoka County Healthcare Authority Past Accepting new patients

Locations

1590 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-3333

1592 S Virginia Ave
Atoka, OK 74525
Phone (580) 889-3355

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

610 E 24th St
Tishomingo, OK 73460
Phone (580) 371-2343

Interoperability endpoints

  • Direct secure messaging: clayton.garrett.1@4696.direct.athenahealth.com
  • Direct secure messaging: clayton.garrett.2@4696.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1487918553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 6TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "73460",
            "telephone_number": "580-371-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "CLAYTON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

Verify at the official NPI Registry.