TINA GARRETT (NPI# 1114530839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114530839 |
| Entity Type | Individual |
| Full Name | TINA GARRETT |
| Credential | CCSH |
| Practice Address |
100 Professional Pl Ste 307 Carrollton GA 30117-3872 |
| Mailing Address |
320 Stonebridge Blvd Bremen GA 30110-2353 |
| Practice Telephone | 7708125978 |
| Practice Fax Number | 7708125981 |
| Mailing Telephone | 6784624265 |
| Mailing Fax Number | 7708125981 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 457 | GA | Technologists, Technicians & Other Technical Service Providers |
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336337211 | Tina Garrett | Physical Therapist | 4515 S Mcclintock Dr Ste 110, Tempe, AZ 85282-7381 | 2007-10-04 |
| 1619902749 | Tina S Garrett | Physician Assistant | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2006-07-11 |
| Street Address |
100 PROFESSIONAL PL STE 307 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356035 | Tanner Medical Center, Inc | Clinic/Center | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2017-10-09 |
| 1841803590 | Melody Johnson | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803590 | Melody Johnson | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052431 | Atlanta Regenerative Healthcare LLC | Specialist/Technologist, Other | 2445 Moon Rd Ste 4, Grayson, GA 30017-7851 | 2020-10-29 |
| 1215491691 | Daniels Earl Peters | Specialist/Technologist, Other | 3114 Asbury Sq, Atlanta, GA 30346-2421 | 2019-01-30 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1891146726 | Tammy Yvonne Hall | Specialist/Technologist, Other | 6658 Ashebrooke Dr, Douglasville, GA 30135-5375 | 2016-06-22 |
| 1659734721 | Latoya Franklin | Specialist/Technologist, Other | 303 Parkway Dr Ne # 442, Atlanta, GA 30312-1212 | 2016-04-05 |
| 1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
| 1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
| 1780053397 | Robert L Lindsey IIi | Specialist/Technologist, Other | 2 Sandstone Dr, Jasper, GA 30143-1805 | 2015-09-24 |
| 1619346921 | Boise Eugene Hankerson Sr. | Specialist/Technologist, Other | 2730 Barry Dr, Augusta, GA 30904-5284 | 2015-09-16 |
| 1467894386 | Danielle Edwards | Specialist/Technologist, Other | 2399 Parkland Dr Ne, Suite 1112, Atlanta, GA 30324-3557 | 2013-07-19 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on TINA GARRETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.