Monroe Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONROE PRIMARY CARE LLC

Practice address

705 Breedlove Dr Ste 800
Monroe, GA 30655-2086

Phone

(678) 635-6185

Fax

(678) 635-6187

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Joel Garrison, DONPI 1720426695

Title

Physician

Phone

(678) 635-6185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel R. Garrison, D.O.

  • Family Medicine Physician
  • Monroe, GA
  • NPI 1720426695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1710726963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR STE 800",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552086",
            "telephone_number": "678-635-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR STE 800",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552086",
            "telephone_number": "678-635-6185",
            "fax_number": "678-635-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-635-6185",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Hma Physician Management LLC
• Monroe Hma, LLC (Clearview Regional Medical Center)
• Monroe Nursing Home Inc (Park Place Nursing Facility)
• Monroe Optical, Inc.
• Monroe Pediatrics
• Monroe Sports and Family Chiropractic,Inc (Alcovy Sports and Family Chiropractic)
• Monroe Veterinary Clinic Inc
• Keri Mooney
• Roger Leon Morales, MD
• Michael A Morgenstern, DO

• Family Medicine Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.