Stephanie Lynn Garrett, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Atlanta, GA
NPI 1689625535 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1689625535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 39099 (KY)
- Practice address
- 1525 Clifton Rd NE
Atlanta, GA 30322-4200 - Phone
- (404) 778-2700
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211026000360 | OH | Practitioner - Geriatric Medicine | 1951365824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39099 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Internal Medicine | Current |
Accepting new patients |
| The Emory Clinic Inc | Internal Medicine | Current |
Accepting new patients |
| Northside Hospital, Inc. | Current |
Accepting new patients | |
| Morehouse Healthcare, Inc. | Internal Medicine | Current |
Accepting new patients |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Northside Hospital, Inc. | Current |
Accepting new patients | |
| Gwinnett Pathology Assoc PC | Current | Accepting new patients | |
| University of Louisville Research Foundation | Past | Accepting new patients | |
| University Family Practice Assoc. PSC | Internal Medicine | Past | Accepting new patients |
Locations
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39099 | KY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 39099 | KY | Yes |
Addresses
Primary practice location
1525 Clifton Rd NE
Atlanta, GA 30322-4200
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Phone (614) 533-6497
Other practice location 1
393 E Town St Ste 116
Columbus, OH 43215-4799
Phone (614) 566-9108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64094832 | Medicaid | KY | |
| 0463756 | Medicaid | OH | |
| 200835590 | Medicaid | IN |
NPI Registry JSON
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1689625535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727",
"telephone_number": "614-533-6497",
"fax_number": "614-566-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224200",
"telephone_number": "404-778-2700"
}
],
"practiceLocations": [
{
"address_1": "393 E Town St Ste 116",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154799",
"country_code": "US",
"telephone_number": "614-566-9108",
"fax_number": "614-566-8737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "39099",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "KY",
"license": "39099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64094832",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0463756",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200835590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Elizabeth Paula Garrett
- Gia N Garrett
- Jade Ellis Garrett
- Meredith Garrett
- Shari G Garrett
- Terrance Garrett
- William F Garrett Jr.
- Hannah Garrick
- Michael Garrick
- Adriana Nicole Garrido
All providers in Atlanta, GA · Geriatric Medicine (Internal Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.