Pam Garrett, CNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN070819 Issued in GA

Practice address

350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084

Phone

(770) 474-1919

Fax

(770) 474-7832

NPI assigned

Nov 7, 2005

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1649251844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "770-474-1919",
            "fax_number": "770-474-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "770-474-1919",
            "fax_number": "770-474-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "PAM",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN070819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00729396A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varon Alexander Garcias, MD
• Askeia Gardner, R.T.(R) (CT)
• Tonya Gaut Garner
• Deshawnda Garnett, MSN
• Donald Garrett, PH.D.
• Ammereta Leanna Gaskin, LMFT
• Nichelle Gause, LPC, NCC
• Aisha Adanta Gay
• Tayla Ncole Gay
• Ndeye A Gaye

• Obstetrics & Gynecology Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.