Garrick Edwards, A.T.,C.

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

AL1707 Issued in FL

Practice address

1501 NE 62ND Street
Ft. Lauderdale, FL 33334

Phone

(954) 776-2124

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Garrick John Edwards Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pine Crest School

  • Health Educator
  • Fort Lauderdale, FL
  • NPI 1609278704
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1639573629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345116",
            "telephone_number": "954-776-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE 62ND STREET",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-776-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GARRICK",
        "credential": "A.T.,C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "AL1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARRICK",
            "last_name": "EDWARDS",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "credential": "A.T,,C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Edward a Dauer MD PA (Florida Medical Radiology Associates)
• Edward N. Smolar, MD PA
• Edward S Walker MD PA
• Brittlee Edwards, CRT
• Elaina Edwards, D.C.
• Kaleah Edwards
• Khadijah Nicole Edwards, COTA
• Edwin H Hamilton PA (Edwin H Hamilton MD PA)
• Brooke Effinger
• Parham Eftekhari, D.O.

• Health Educator in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.