NPIMap

Individual provider Active NPI

Tracy Overstreet Garrett, FNP-C

  • Family Nurse Practitioner
  • Gretna, VA
National Provider Identifier
1770957995
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173090 Issued in VA
Practice address
291 McBride Lane
Gretna, VA 24557-0000
Phone
(434) 656-1274
Fax
(434) 200-1672
NPI assigned
Nov 27, 2015
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173090 VA Primary

Addresses

Primary practice location

291 McBride Lane
Gretna, VA 24557-0000

Mailing address

291 McBride Lane
Gretna, VA 24557-0000
Phone (434) 656-1274

Other names 1

  • Tracy Overstreet Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002188 VA Practitioner - Nurse Practitioner 8628373677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1280 Main St a
Altavista, VA 24517-1465
Phone (434) 309-1165

165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

291 McBride LN
Gretna, VA 24557-2773
Phone (434) 656-1274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Dec 27, 2015 Accepting new patients

Locations

291 McBride Ln
Gretna, VA 24557
Phone (434) 656-1274

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Organizations & group practices 1

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 10

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": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1770957995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MCBRIDE LANE",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245570000",
            "telephone_number": "434-656-1274",
            "fax_number": "434-200-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MCBRIDE LANE",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245570000",
            "telephone_number": "434-656-1274",
            "fax_number": "434-200-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "TRACY",
        "middle_name": "OVERSTREET",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-27",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "HALL",
            "middle_name": "OVERSTREET",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gretna, VA

Sources for this page

Verify at the official NPI Registry.