Active NPI
Garret Justin Holcomb, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301114188
- Practice address
- 5841 S Maryland Ave
MC 2050
Chicago, IL 60637-1447 - Phone
- (773) 834-0598
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301114188 | MI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 036142240 | IL |
Addresses
Primary practice location
5841 S Maryland Ave
MC 2050
Chicago, IL 60637-1447
Mailing address
36561 Harper Ave
Clinton Township, MI 48035-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Cincinnati College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36500 S Gratiot Ave
Clinton Township, MI 48035-1772
36561 Harper Ave
Clinton Township, MI 48035-2012
Phone (586) 792-5740
37399 Garfield Rd
Clinton Township, MI 48036-3672
44200 Garfield Rd
Suite 164
Clinton Township, MI 48038-1142
Phone (586) 412-5117
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Single Specialty | Current | Accepting new patients |
| VHS Physicians of Michigan | Single Specialty | Current | Accepting new patients |
| McLaren Macomb | Single Specialty | Current | Accepting new patients |
| McLaren Medical Group | Single Specialty | Current | Accepting new patients |
| McLaren Medical Group | Past | Accepting new patients | |
| McLaren Macomb | Past | Accepting new patients |
Locations
32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604
51086 Fairchild Rd
Ste A
Chesterfield, MI 48051
Phone (586) 725-4604
36561 Harper Ave
Clinton Twp, MI 48035
Phone (586) 791-0620
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
36500 S Gratiot Ave
Ste 202
Clinton Twp, MI 48035
Phone (586) 493-3727
37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911
44200 Garfield Rd
Ste 164
Clinton Twp, MI 48038
Phone (586) 412-5117
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
6001 W Outer Dr
Ste 400
Detroit, MI 48235
Phone (313) 966-4200
6001 W Outer Dr
Detroit, MI 48235
Phone (313) 341-1431
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
Single Specialty
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- Internal Medicine Physician
- Flint, MI
- NPI 1780652206
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1679987549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36561 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480352012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC 2050",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-834-0598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "GARRET",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301114188",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036142240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.