Active NPI
Garnie Jo Carter-Powell, PA-C
- Surgical Physician Assistant
- Redmond, OR
National Provider Identifier
1871540625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 00691
- Practice address
- 1315 NW 4TH St
Redmond, OR 97756 - Phone
- (541) 548-9159
- NPI assigned
- May 27, 2006
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA 00691 | OR | Primary |
Addresses
Primary practice location
1315 NW 4TH St
Redmond, OR 97756
Mailing address
7995 NW Grubstake Way
Redmond, OR 97756-8964
Phone (541) 749-0349
Other practice location 1
7995 NW Grubstake Way
Redmond, OR 97756-8964
Phone (541) 749-0349
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871540625 | Other | OR | NPI |
| 500608031 | Medicaid | OR | |
| PA00691 | Other | OR | OMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050627000242 | OR | Practitioner - Physician Assistant | 1759326135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 00691 | OR | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Surgical | Current | Accepting new patients |
Locations
1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1871540625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7995 NW GRUBSTAKE WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568964",
"telephone_number": "541-749-0349",
"fax_number": "541-504-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NW 4TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "97756",
"telephone_number": "541-548-9159"
}
],
"practiceLocations": [
{
"address_1": "7995 NW Grubstake Way",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977568964",
"country_code": "US",
"telephone_number": "541-749-0349",
"fax_number": "541-504-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER-POWELL",
"first_name": "GARNIE",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA 00691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871540625",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500608031",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMB",
"identifier": "PA00691",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
- Britney Ann Carreon, LMT
- Michael Carreon, DMD
- Emily Carroll, REGISTERED NURSE
- Reilly Carson
- Shakari Carson, LCSW
- Brian Carter, D.O.
- Rachel Cartrette-Moore, CADCII
- Cascade Anesthesia Services PC (Cascade Mind & Body Clinic)
- Cascade Child Treatment Center, Inc.
- Cascade Chiropractic & Natural Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.