Douglas Brent Garrison, DC
Individual provider Active NPI Chiropractor · Mammoth Spring, AR
NPI 1760410484 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1760410484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1368 (AR)
- Practice address
- 350 Bethel Ave
Mammoth Spring, AR 72554-0157 - Phone
- (870) 625-3355
- Fax
- (870) 625-3356
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 Bethel Ave
Mammoth Spring, AR 72554-8001
Phone (870) 625-3355
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000726 | AR | Practitioner - Chiropractic | 9234194879 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006314 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring River Chiropractic | Chiropractor | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
350 Main St
Ste 1
Mammoth Spring, AR 72554
Phone (870) 625-3355
350 Bethel Ave
Mammoth Spring, AR 72554
Phone (870) 625-3355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1368 | AR | Yes |
| Chiropractor | 111N00000X | 006314 | MO |
Addresses
Primary practice location
350 Bethel Ave
Mammoth Spring, AR 72554-0157
Mailing address
PO Box 157
Mammoth Spring, AR 72554-0157
Phone (870) 625-3355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132121718 | Medicaid | AR | |
| 758899306 | Medicaid | MO |
Other providers in Mammoth Spring, AR
- Family Health Care LLC
- Family Health Care, LLC
- Charlotte Ann Featherston
- Gregory Ross Fuller
- Allie Rose Gardner
- Marcia Beth Haizlip
- Anita B Humphreys
- Sarah Juhl Halsrud
- Michael Dean Kersey
- Jeffrey Dean Lawson
All providers in Mammoth Spring, AR · Chiropractor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.