NPIMap

Individual provider Active NPI

Justin Blake Garrison, D.O.

  • Family Medicine Physician
  • Morristown, TN
National Provider Identifier
1841533429
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4600 Issued in TN
Practice address
420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone
(423) 586-2410
Fax
(423) 581-9692
NPI assigned
Apr 1, 2013
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4600 TN Primary

Addresses

Primary practice location

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282

Mailing address

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone (423) 586-2410

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address justin.garrison.1@3525.direct.athenahealth.com Direct
Direct Messaging Address justin.garrison.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220208002267 TN Practitioner - Family Practice 0244549160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Suite 400B
Morristown, TN 37813-2282
Phone (423) 586-2410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4600TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Healthstar Physicians PC CurrentSince Feb 1, 2022 Accepting new patients
East Tennessee Primary Care Associates Family Medicine Past Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400B
Morristown, TN 37813
Phone (423) 254-0547

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

Interoperability endpoints

  • Direct secure messaging: garrison.justin@st.direct.azkrmc.md
  • Direct secure messaging: justin.garrison.1@3525.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1841533429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JUSTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.garrison.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd Ste 400B",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.garrison.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd Ste 400B",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.