NPIMap

Individual provider Active NPI

Rodger Kenneth Garrett, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Pensacola, FL
National Provider Identifier
1679560536
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME78069 Issued in FL
Practice address
4901 Market Place Rd
Pensacola, FL 32504-8986
Phone
(855) 527-7246
Fax
(833) 810-1165
NPI assigned
Oct 5, 2005
Last updated
Aug 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME78069 FL Primary

Addresses

Primary practice location

4901 Market Place Rd
Pensacola, FL 32504-8986

Mailing address

4901 Grande Dr Ste B
Pensacola, FL 32504-5936
Phone (855) 527-7246

Other identifiers 2

IdentifierTypeStateIssuer
46797OtherFLBCBS FL
257491800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040112000510 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0749180065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management, Physical Medicine and Rehabilitation
Education
University of California, Irvine, California College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

3810 Hwy 90
Pace, FL 32571-1014
Phone (850) 484-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC CurrentSince Aug 17, 2013 Accepting new patients
Pain Consultants of West Florida CurrentSince Apr 11, 2021 Accepting new patients
Clearway Anesthesia Services SE LLC CurrentSince Aug 13, 2023 Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Aug 17, 2013 Accepting new patients
Jon a Harmon MD PA PastSince Sep 15, 2019 Accepting new patients
R. Ken Garrett, MD, PA Pain Medicine PastSince Aug 8, 2005 Accepting new patients
Baycare Pain Associates, LLC Pain Medicine Past Accepting new patients
Baycare Anesthesia Associates LLC Pain Medicine Past Accepting new patients
Mobile Anesthesia Associates LLC Pain Medicine Past Accepting new patients
Complete Pain Management PA Pain Medicine Past Accepting new patients
Ultimate Anesthesiology LLC Past Accepting new patients
West Florida Anesthesia Consultants, PA Past Accepting new patients

Locations

3810 Highway 90
Pace, FL 32571
Phone (850) 476-9000

4624 N Davis Hwy
Pensacola, FL 32503
Phone 85049400002014

4901 Grande Dr
Ste B
Pensacola, FL 32504

4901 Market Place Rd
Pensacola, FL 32504

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

Interoperability endpoints

  • Direct secure messaging: rgarrett@gcpi-fl.direct.office.nextgen.com
  • Direct secure messaging: rodger.garrett.1@11679.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1679560536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045936",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MARKET PLACE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048986",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "RODGER",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME78069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "46797",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257491800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.