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

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100 (group)
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 IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39099KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Medical Group, Inc Internal Medicine Current Accepting new patients
Ohiohealth Corporation Internal Medicine Current
since Nov 1, 2021
Accepting new patients
The Emory Clinic Inc Internal Medicine Current
since Jun 1, 2016
Accepting new patients
Northside Hospital, Inc. Current
since Apr 21, 2015
Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine Current
since Jul 1, 2008
Accepting new patients
Ohiohealth Corporation Current
since Nov 1, 2021
Accepting new patients
Northside Hospital, Inc. Current
since Apr 21, 2015
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64094832MedicaidKY
0463756MedicaidOH
200835590MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2021.

{
    "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

All providers in Atlanta, GA · Geriatric Medicine (Internal Medicine) Physician in Georgia

Sources for this page

Verify at the official NPI Registry.