Active NPI
Donald Jerome Garrett
- Social Worker
- Thomasville, GA
National Provider Identifier
1902562085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1624P-M
- Practice address
- 528 Remington Ave Apt C
Thomasville, GA 31792-5686 - Phone
- (850) 661-7384
- NPI assigned
- Nov 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1624P-M | NV | Primary |
Addresses
Primary practice location
528 Remington Ave Apt C
Thomasville, GA 31792-5686
Mailing address
528 Remington Ave Apt C
Thomasville, GA 31792-5686
Phone (850) 661-7384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624P-M | Other | NV | INTERN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Thomasville | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624P-M | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1902562085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 REMINGTON AVE APT C",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925686",
"telephone_number": "850-661-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 REMINGTON AVE APT C",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925686",
"telephone_number": "850-661-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "DONALD",
"middle_name": "JEROME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "1624P-M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERN",
"identifier": "1624P-M",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Thomasville",
"affiliation": "N",
"endpointDescription": "Behavior Health Provider",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Thomasville",
"address_1": "528 Remington Ave Apt C",
"city": "Thomasville",
"state": "GA",
"country_code": "US",
"postal_code": "317925686",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.