Javonia De'Antasia Gary

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9113 Issued in SC

Practice address

205 Farrs Bridge Rd
Greenville, SC 29617-1905

Phone

(864) 383-0384

NPI assigned

Aug 30, 2023

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 names 1

• Javonia Davis Former 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 and National Provider Directory roles.

• Pickens County Commission on Alcohol & Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1134127475
  NPD (past)
• Pickens County Commission on Alcohol & Drug Abuse

  • Addiction Medicine (Family Medicine) Physician
  • Easley, SC
  • NPI 1467207209
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1679358360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARRINGTON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177842",
            "telephone_number": "843-345-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171905",
            "telephone_number": "864-383-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "JAVONIA",
        "middle_name": "DE'ANTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "9113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVONIA",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Gartner
• Jennifer L Garvey, DMD
• Misheica Garvey
• Andrea La-Shunn Gary, RPTA
• Angela Nicole Gary, APRN, FNP-C
• Angela Garzon, MA
• Rachel Gasdia
• Anne Claire Gaskin, PA
• Keshonda Gaskin
• John D Gaskins, MD

• Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.