Organization Active NPI

Garner Family Care Services, LLC.

  • Psychiatry Physician
  • Garner, NC
National Provider Identifier
1669780375
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GARNER FAMILY CARE SERVICES, LLC.
Practice address
893 US Highway 70 W
Suite 200
Garner, NC 27529-2597
Phone
(919) 779-6461
Fax
(800) 881-4493
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Marion Scott Elliott
Title
Ceo / Member
Phone
(864) 360-7197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X NC
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NC Primary

Addresses

Primary practice location

893 US Highway 70 W
Suite 200
Garner, NC 27529-2597

Mailing address

893 US Highway 70 W
Suite 200
Garner, NC 27529-2597
Phone (919) 779-6461

Other identifiers 1

IdentifierTypeStateIssuer
5917395MedicaidNC

National Provider Directory

National Provider Directory

Locations

310 N Martin Luther King Ave
Enfield, NC 27823
Phone (252) 445-5665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1669780375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 US HIGHWAY 70 W",
            "address_2": "SUITE 200",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292597",
            "telephone_number": "919-779-6461",
            "fax_number": "800-881-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 US HIGHWAY 70 W",
            "address_2": "SUITE 200",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292597",
            "telephone_number": "919-779-6461",
            "fax_number": "800-881-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER FAMILY CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO / MEMBER",
        "authorized_official_telephone_number": "864-360-7197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.