Individual provider Active NPI

Thomas Calvin Garrott, MD

  • Dermatology Physician
  • Ocean Springs, MS
National Provider Identifier
1982664256
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5435 Issued in MS
Practice address
24 Marks Road
Ocean Springs, MS 39564
Phone
(228) 872-8873
Fax
(228) 872-8876
NPI assigned
Mar 23, 2006
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5435 MS Primary

Addresses

Primary practice location

24 Marks Road
Ocean Springs, MS 39564

Mailing address

24 Marks Road
Ocean Springs, MS 39564
Phone (228) 872-8873

Other identifiers 1

IdentifierTypeStateIssuer
00014426MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000496 MS Practitioner - Dermatology 1658260997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5435MSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas C Garrott, M.D., PA Dermatology CurrentSince Jun 30, 1981 Accepting new patients

Locations

24 Marks Rd
Ocean Springs, MS 39564
Phone (228) 872-8873

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1982664256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MARKS ROAD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-872-8873",
            "fax_number": "228-872-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARKS ROAD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-872-8873",
            "fax_number": "228-872-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARROTT",
        "first_name": "THOMAS",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "5435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014426",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.