Active NPI
Coy Edwin Garrett Jr., CCC-SLP
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1982268934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8055
- Practice address
- 831 Red Oak Tree Dr
Fuquay Varina, NC 27526-4969 - Phone
- (847) 495-8340
- NPI assigned
- Apr 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8055 | NC | Primary |
Addresses
Primary practice location
831 Red Oak Tree Dr
Fuquay Varina, NC 27526-4969
Mailing address
831 Red Oak Tree Dr
Fuquay Varina, NC 27526-4969
Phone (847) 495-8340
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 |
|---|---|---|---|
| 8055 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1982268934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 RED OAK TREE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275264969",
"telephone_number": "847-495-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 RED OAK TREE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275264969",
"telephone_number": "847-495-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "COY",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.