Individual provider Active NPI

Garrett Peed

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1699497057
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R215502 Issued in MD
Practice address
3805 Edwards Rd Ste 100
Cincinnati, OH 45209-1939
Phone
(513) 351-3223
NPI assigned
Sep 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R215502 MD Primary

Addresses

Primary practice location

3805 Edwards Rd Ste 100
Cincinnati, OH 45209-1939

Mailing address

3950 Defense LN
Huntingtown, MD 20639-3632
Phone (410) 474-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221031002928 MD Practitioner - Nurse Practitioner 9032586219
I20241108000278 VA Practitioner - Nurse Practitioner 9032586219

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9755 Patuxent Woods Dr
Suite 100
Columbia, MD 21046-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R215502MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Shakley Chiropractic and Wellness Center LLC CurrentSince Dec 25, 2023 Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients

Locations

185 Harry S Truman Pkwy
Ste 100
Annapolis, MD 21401
Phone (410) 263-4171

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

Interoperability endpoints

  • Direct secure messaging: garrett.peed.1@29431.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1699497057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 DEFENSE LN",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206393632",
            "telephone_number": "410-474-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091939",
            "telephone_number": "513-351-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEED",
        "first_name": "GARRETT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R215502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.