Active NPI
Garrick M Smitherman
- Family Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1215999
- Practice address
- 1757 Broad Park Cir N Ste 201
Mansfield, TX 76063-7840 - Phone
- (817) 806-1130
- Fax
- (817) 806-1133
- NPI assigned
- Sep 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 935240 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1215999 | TX | Primary |
Addresses
Primary practice location
1757 Broad Park Cir N Ste 201
Mansfield, TX 76063-7840
Mailing address
500 Oak St
Venus, TX 76084-3130
Phone (469) 879-0944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 6278
Fort Worth, TX 76115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 935240 | TX | MD | Registered Nurse |
| 1215999 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huguley Medical Associates | Current | Accepting new patients |
Locations
11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
1757 Broad Park Cir N
Ste 201
Mansfield, TX 76063
Phone (817) 806-1130
550 Hawkins Run Rd
Ste 100
Midlothian, TX 76065
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 and National Provider Directory roles.
-
- General Practice Physician
- Burleson, TX
- NPI 1629290929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1952274011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OAK ST",
"city": "VENUS",
"state": "TX",
"postal_code": "760843130",
"telephone_number": "469-879-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 BROAD PARK CIR N STE 201",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637840",
"telephone_number": "817-806-1130",
"fax_number": "817-806-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHERMAN",
"first_name": "GARRICK",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-25",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "935240",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1215999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.