Individual provider Active NPI

Andrea L Garrett, M.D.

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1821051079
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2009017535 Issued in MO
Practice address
12855 N 40 Dr
Ste 180
Saint Louis, MO 63141-8657
Phone
(314) 878-5599
Fax
(314) 392-4290
NPI assigned
Apr 10, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48976-020 WI
Dermatology Physician 207N00000X 2009017535 MO Primary
MOHS-Micrographic Surgery Physician 207ND0101X 2009017535 MO

Addresses

Primary practice location

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141-8657

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (866) 630-9882

Other practice location 1

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

Other practice location 2

8567 Watson Rd Ste A
Webster Groves, MO 63119-5251
Phone (314) 528-9040

Other names 1

  • Andrea L Slaughter Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Andrea.Garrett@forefrontdermatology.emadirect.md
Direct Messaging Address Andrea.Garrett@forefrontdermatology.emadirect.md
Direct Messaging Address Andrea.Garrett@forefrontdermatology.emadirect.md

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000113 MO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 3274627617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Columbia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 180
Saint Louis, MO 63141-8657
Phone (314) 878-5599

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions493
Removal of skin cancer76
Removal or shaving of skin growth33
Skin biopsy116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48976-020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

8567 Watson Rd
Ste A
Webster Groves, MO 63119
Phone (314) 528-9040

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1821051079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "866-630-9882",
            "fax_number": "920-682-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "STE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-878-5599",
            "fax_number": "314-392-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636407616",
            "country_code": "US",
            "telephone_number": "573-760-0091",
            "fax_number": "573-760-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8567 Watson Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631195251",
            "country_code": "US",
            "telephone_number": "314-528-9040",
            "fax_number": "314-528-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "48976-020",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2009017535",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2009017535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrea.Garrett@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1223 Maple St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636407616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrea.Garrett@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8567 Watson Rd Ste A",
            "city": "Webster Groves",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631195251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrea.Garrett@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "12855 N 40 Dr",
            "address_2": "Ste 180",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631418657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SLAUGHTER",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.