MARY GARRISON (NPI# 1891761912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891761912 |
| Entity Type | Individual |
| Full Name | MARY GARRISON |
| Credential | MD |
| Practice Address |
66 Lake Concord Rd Ne Concord NC 28025-3057 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044037720 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 200500099 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Dale Earnhardt Blvd, Ste 201, Kannapolis, NC 280810308 | 7044037430 | |
| 2101 Shiloh Church Rd, Suite 101, Davidson, NC 280367601 | 7044393700 | |
| 3396 Cloverleaf Pkwy, Kannapolis, NC 280836992 | 7044037740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811056195 | Mary Irene Garrison | Massage Therapist | 960 St Rt 72 South, Sabina, OH 45169 | 2006-12-06 |
| 1235776170 | Mary Elizabeth Garrison | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2019-12-10 |
| 1598073959 | Mary Elizabeth Garrison | Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2010-09-20 |
| 1912080284 | Mary B Garrison | Registered Nurse | 70 Minnesota Ave, The Rent Center Hillsgrove House, Warwick, RI 02888 | 2006-10-23 |
| Street Address |
66 LAKE CONCORD RD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033185053 | Laura Mock | Pediatrics | 66 Lake Concord Rd Ne, Cabarrus Pediatrics, Concord, NC 28025-3057 | 2006-02-28 |
| 1245759166 | Carolinas Physicians Network Inc | Pediatrics | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2017-09-12 |
| 1275935082 | Lauren Eubank | Nurse Practitioner | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2014-09-24 |
| 1255750295 | Bryan Goolsby | Pediatrics | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2014-04-07 |
| 1356789705 | Harry Kreider | Pediatrics | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2013-06-07 |
| 1780878157 | Deanna Whitley | Nurse Practitioner | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2007-08-29 |
| 1861606311 | Porter Peterson | Pediatrics | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2007-05-10 |
| 1821174699 | Nichole Towns | Nurse Practitioner | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2006-10-27 |
| 1457448474 | Mandy Bost | Nurse Practitioner | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2006-10-10 |
| 1295797272 | Cabarrus Pediatric Practice, Inc | Pediatrics | 66 Lake Concord Rd Ne, Concord, NC 28025-3057 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497075402 | Nantucket Pediatrics | Pediatrics | 390 Westford Rd, Concord, MA 01742-5236 | 2010-06-02 |
| 1437385168 | Amy Schafer Boger | Pediatrics | 243 Old Pickard Rd, Concord, MA 01742-4727 | 2009-06-09 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1952507899 | George Alfred Engstrom | Pediatrics | 700 Williamsburg Ct Ne, Concord, NC 28025-2540 | 2007-06-26 |
| 1982727004 | Charlotte C Cowan | Pediatrics | 281 A Fairhaven Hill, Concord, MA 01742 | 2007-04-06 |
| 1679589212 | Concord Children's Clinic | Pediatrics | 1040 Vinehaven Dr, Concord, NC 28025 | 2006-08-01 |
| 1700802543 | Todd Michael Poret | Pediatrics | 253 Pleasant Street, Dept of Pediatrics, Concord, NH 03301 | 2006-07-14 |
| 1538192604 | Hemant Prakash | Pediatrics | 1040 Vinehaven Drive, Concord, NC 28025 | 2006-07-09 |
| 1225076524 | Lisa M Kelly | Pediatrics | 133 Ornac, Emerson Hospital, Concord, MA 01541 | 2006-06-02 |
| 1699741579 | Joseph Stegman | Pediatrics | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-02-28 |
| Find all providers in CONCORD | ||||
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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.