Gary B Garison M.D. P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16785 Issued in NC

Legal business name

GARY B GARISON M.D. P.A.

Practice address

3625 Cape Center Dr
Fayetteville, NC 28304-4457

Phone

(910) 587-9590

Fax

(919) 287-2269

NPI assigned

Apr 12, 2007

Last updated

Sep 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kandi S Greer, MSHM

Title

Administrator

Phone

(910) 587-9590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1730303827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 PIONEER DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489346",
            "telephone_number": "910-587-9590",
            "fax_number": "919-287-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-587-9590",
            "fax_number": "919-287-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B GARISON M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-587-9590",
        "authorized_official_credential": "MSHM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "16785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934559",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelaine Garrett, DPT
• Michaela Garrett
• Madrian Glover Garrick, LCSW
• Madilyn Mackenzie Garrison
• Tenesa Garvin, PHARMD
• Jamie Gaskin, LPC
• Melissa Gaskins, CADC-I, CPSS
• Raymond A Gaskins Jr., M.D.
• Tabytha Gaskins
• Mackenzie Gassaway

• Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.