Individual provider Active NPI

Cary Ann Gargis, PA-C

  • Physician Assistant
  • Hiram, GA
National Provider Identifier
1740267475
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004634 Issued in GA
Practice address
144 Bill Carruth Pkwy Ste 2300
Hiram, GA 30141-3821
Phone
(770) 428-4475
Fax
(678) 363-8836
NPI assigned
Dec 23, 2005
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004634 GA Primary

Addresses

Primary practice location

144 Bill Carruth Pkwy Ste 2300
Hiram, GA 30141-3821

Mailing address

144 Bill Carruth Pkwy Ste 2300
Hiram, GA 30141-3821
Phone (707) 428-4475

Other practice location 1

1357 Hembree Rd
Suite 250
Roswell, GA 30076-5722
Phone (770) 475-7550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgargis609515@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121210000360 GA Practitioner - Physician Assistant 4082866520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mid West Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

144 Bill Carruth Pkwy
Suite 2300
Hiram, GA 30141-3821
Phone (770) 428-4475

1700 Hospital S Dr
Austell, GA 30106-8116

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004634GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

144 Bill Carruth Pkwy
Ste 2300
Hiram, GA 30141
Phone (770) 590-1078

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • Direct secure messaging: cgargis609515@directwellstar.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1740267475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BILL CARRUTH PKWY STE 2300",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413821",
            "telephone_number": "707-428-4475",
            "fax_number": "678-363-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BILL CARRUTH PKWY STE 2300",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413821",
            "telephone_number": "770-428-4475",
            "fax_number": "678-363-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 Hembree Rd",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765722",
            "country_code": "US",
            "telephone_number": "770-475-7550",
            "fax_number": "770-343-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARGIS",
        "first_name": "CARY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgargis609515@directwellstar.org",
            "affiliation": "N",
            "address_1": "144 Bill Carruth Pkwy Ste 2300",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301413821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

Verify at the official NPI Registry.