JEFFREY BRUCE GARRIS (NPI# 1295842029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295842029 |
| Entity Type | Individual |
| Full Name | JEFFREY BRUCE GARRIS |
| Credential | M.D. |
| Practice Address |
15 Skyland Inn Dr Arden NC 28704-7714 |
| Mailing Address |
Po Box 1869 Fletcher NC 28732-1869 |
| Practice Telephone | 8286874500 |
| Practice Fax Number | 8286874550 |
| Mailing Telephone | 8286875616 |
| Mailing Fax Number | 8286508076 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 29475 | SC | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
200300344 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 137UJ | 01 |
| SC | RR MEDICARE | P00656891 | 01 |
| NC | RR MEDICARE/NC | P01452618 | 01 |
| SC | 294755 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Jane Jacobs Rd, Black Mountain, NC 287116306 | 8282980333 | 8282980050 |
| 333 Gashes Creek Rd, Asheville, NC 288039405 | 8282980333 | 8282980050 |
| 1881 Pisgah Dr Bldg A, Hendersonville, NC 287913760 | 8286974336 | 8286946757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231764 | Jeffrey Thomas Garris | Pharmacist | 3050 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2013-09-11 |
| Street Address |
15 SKYLAND INN DR |
| City | ARDEN |
| State | NC |
| Zip Code | 28704-7714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128028 | Ronald Wayne Johnson | Family Medicine | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2005-07-21 |
| 1275876682 | Claudia Deyanira Sotomayor | Physician Assistant | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2013-04-03 |
| 1205172202 | Katie Lynn Dager | Physician Assistant | 15 Skyland Inn Dr, Arden, NC 28704 | 2012-12-19 |
| 1376803304 | Anthony G. Hazelton | Psychologist | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2012-05-24 |
| 1437444221 | Steven Hauser | Internal Medicine | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2011-06-09 |
| 1114216918 | Cherie L Ledford | Nurse Practitioner | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2011-04-01 |
| 1972704492 | Leah Swann | Family Medicine | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2007-05-31 |
| 1871704056 | Carla Kate Skytta | Plastic Surgery | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2007-05-27 |
| 1013094903 | Ronald Renord Caldwell | Internal Medicine | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2006-11-01 |
| 1871507749 | Jennifer W. Wilhelm | Internal Medicine | 15 Skyland Inn Dr, Arden, NC 28704-7714 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
| Find all providers in zip 28704 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125669 | Janet E Harris-hicks | Obstetrics & Gynecology | 108 Endo Ln Ste 1, Hamlet, NC 28345-4567 | 2006-10-06 |
| 1841289824 | Samantha Pulliam | Obstetrics & Gynecology | 101 Manning Drive, Unc Hospitals, Chapel Hill, NC 27514 | 2005-10-21 |
| 1548876923 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 10650 Park Rd Ste 120, Charlotte, NC 28210-8539 | 2020-09-21 |
| 1598320830 | Wakemed Specialists Group, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1497119283 | Novant Medical Group, Inc | Obstetrics & Gynecology | 770 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103 | 2016-04-08 |
| 1508234402 | Forsyth Memorial Hosptial Inc | Obstetrics & Gynecology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-09-09 |
| 1760861678 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2015-05-26 |
| 1508251182 | Amy Liao Askew | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607-7510 | 2015-04-01 |
| 1467790055 | Carolinas Medical Center | Obstetrics & Gynecology | 200 Medical Park Dr, Ste 250, Concord, NC 28025-2982 | 2013-01-17 |
| 1881968709 | Mcpc-7, LLC | Obstetrics & Gynecology | 108 Endo Ln, Hamlet, NC 28345-4566 | 2012-02-24 |
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| 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.