Individual provider Active NPI

Zachary Garner, D.O.

  • Gastroenterology Physician
  • Fort Myers, FL
National Provider Identifier
1558679449
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS12213 Issued in FL
Practice address
4790 Barkley Cir
Fort Myers, FL 33907-7593
Phone
(239) 275-8882
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS12213 FL Primary

Addresses

Primary practice location

4790 Barkley Cir
Fort Myers, FL 33907-7593

Mailing address

PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600

Other practice location 1

1852 Hillview St Ste 301
Sarasota, FL 34239
Phone (941) 262-0400

Other identifiers 1

IdentifierTypeStateIssuer
021071600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@giaswfl.com Direct Gastroenterology Associates of Southwest Florida LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170605000837 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 5991072449 Reassigns benefits to 4 organizations
I20240820003459 KY Practitioner - Gastroenterology 5991072449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

2605 Kentucky Ave
Suite 202
Paducah, KY 42003-3801
Phone (270) 441-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12213FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 15, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 15, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 15, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
SMH Physician Services Inc CurrentSince Jan 8, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1852 Hillview St
Ste 301
Sarasota, FL 34239
Phone (941) 262-0400

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

1700 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-5551

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 202
Paducah, KY 42003
Phone (270) 415-4690

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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 3

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1558679449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-275-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1852 Hillview St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34239",
            "country_code": "US",
            "telephone_number": "941-262-0400",
            "fax_number": "941-262-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS12213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021071600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@giaswfl.com",
            "affiliation": "Y",
            "affiliationName": "Gastroenterology Associates of Southwest Florida LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4790 Barkley Cir",
            "address_2": "Building A",
            "city": "Ft Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339077543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.