Individual provider Active NPI

Garrett Hart Medley, FNP

  • Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1659088078
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN306175 Issued in GA
Practice address
3400 Old Milton Pkwy Ste 575
Alpharetta, GA 30005-3707
Phone
(770) 410-0202
NPI assigned
Nov 4, 2022
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN306175 GA
Nurse Practitioner 363L00000X RN306175 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste 575
Alpharetta, GA 30005-3707

Mailing address

3400 Old Milton Pkwy Ste 575
Alpharetta, GA 30005-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417002587 GA Practitioner - Nurse Practitioner 8325413784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Alpharetta ENT Specialists LLCGroup PAC ID 0941651848, 4 clinicians

Practice addresses (Care Compare)

1250 Upper Hembree Rd
Suite E
Roswell, GA 30076-4651
Phone (770) 410-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN306175GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpharetta ENT Specialists LLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 575
Alpharetta, GA 30005
Phone (770) 410-0202

3400 Old Milton Pkwy
Ste C575
Alpharetta, GA 30005
Phone (770) 410-0202

1250 Upper Hembree Rd
Ste E
Roswell, GA 30076
Phone (770) 410-0202

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIACD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1659088078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE 575",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE 575",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-410-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "GARRETT",
        "middle_name": "HART",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN306175",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN306175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.