Garrett Shane Surrency, ADVANCED CARE NP - Medicare Nurse Practitioner in Clayton, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Clayton
Garrett Shane Surrency, ADVANCED CARE NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Clayton, Georgia. His current practice location is 189 Bo James St Ste 105, Clayton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 782-0016.

Garrett Shane Surrency is licensed to practice in Georgia (license number 162472) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104348432.

Contact Information

Garrett Shane Surrency, ADVANCED CARE NP
189 Bo James St Ste 105,
Clayton, GA 30525-6199
(706) 782-0016
(706) 782-0180

Map and Direction




Provider's Profile

Full NameGarrett Shane Surrency
GenderMale
SpecialityNurse Practitioner - Acute Care
Location189 Bo James St Ste 105, Clayton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104348432
  • Provider Enumeration Date: 07/07/2017
  • Last Update Date: 10/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517239502
  • Enrollment ID: I20170825002328

Medical Identifiers

Medical identifiers for Garrett Shane Surrency such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104348432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 162472 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Garrett Shane Surrency allows following entities to bill medicare on his behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Garrett Shane Surrency is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Garrett Shane Surrency, ADVANCED CARE NP
Po Box 654,
Sparks, GA 31647-0654

Ph: (229) 848-9383		Garrett Shane Surrency, ADVANCED CARE NP
189 Bo James St Ste 105,
Clayton, GA 30525-6199

Ph: (706) 782-0016

Reviews and Comments


Nurse Practitioner Nurses in Clayton, GA

Beverly June Ramey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30 Cottonwood St, Clayton, GA 30525
Phone: 706-782-7968    
Patricia H Smith, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 331 Ridgecrest Cir, Clayton, GA 30525
Phone: 706-782-0440    
Bryan Kelly Mcdonald, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 811 Highway 441 N Ste 100, Clayton, GA 30525
Phone: 706-782-5991    
Maria Ann Corella, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 458 N Main St, Clayton, GA 30525
Phone: 843-367-5817    
Amanda Dawn Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 563 Mountain City Rd, Clayton, GA 30525
Phone: 706-960-9533    
Elizabeth Mckeon,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 633 Highway 441 S, Clayton, GA 30525
Phone: 706-212-0349    Fax: 706-212-0349

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.