SALLY GARRETT (PA) – Physician Assistant, NPI 1063957694

SALLY GARRETT (PA) is a healthcare provider. based in North fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9110087 (FL). The NPI Number for SALLY GARRETT (PA) is 1063957694

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SALLY GARRETT (PA)
NPI
1063957694
Phone
(877) 856-3774
Address
3434 HANCOCK BRIDGE PKWY
Enumeration Date
6 January 2017
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393186284
Graduation Year
2016 (10 years ago)
PAC ID
8527341411
Group Practice PAC ID
0042569758
Professional Enrollment ID
I20170220002745
Address ID
FL339169521FO2848XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SALLY GARRETT (PA)

  • 3434, Hancock Bridge Parkway, Marina Town Condo Apartments, North Fort Myers, Lee County, Florida, 33903, United States

    SUITE 301

    NORTH FORT MYERS, FL 339037094

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 60 WESTMINSTER ST N STE A

    LEHIGH ACRES, FL 339366518

    Phone: (239) 368-1808

    Fax: (239) 368-4664

    Type: Location

  • 60 Westminster St N Ste A

    Lehigh Acres, FL 339366518

    Phone: (239) 368-1808

    Fax: (239) 368-4664

    Type: Location

  • PO BOX 749495

    ATLANTA, GA 303749495

    Phone: (855) 963-2100

    Fax: (813) 321-1296

    Type: Mailing

  • 14551 HOPE CENTER LOOP STE 200

    FORT MYERS, FL 339124705

    Phone: (239) 264-7026

    Fax: (239) 567-3679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,308.

Total Amount is formed as General ($1,308) + Research ($0) + Ownership ($0) = $1,308.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($221).

Total Amount

$1,308

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170220002745IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13394$0
36415Insertion of needle into vein for collection of blood sample10484$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8577$0
80061Blood test, lipids (cholesterol and triglycerides)7166$0
80053Blood test, comprehensive group of blood chemicals6962$0
View full utilization report →

Insurance plans in this area (ZIP 33903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042569758View full group profile
NameSpecialtyState
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YDE
Nurse PractitionerNC
Nurse PractitionerFL
P A T H O L O G YFL
Nurse PractitionerKS
-MO
Nurse PractitionerMD
-GA
-FL

Reviews

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Frequently asked questions

How is SALLY GARRETT (PA) identified in CMS data?
CMS-hosted NPPES data lists SALLY GARRETT (PA) with NPI 1063957694.
Can I rely on SALLY GARRETT (PA) being an active provider?
As of the registry snapshot, SALLY GARRETT (PA) is marked active.
What taxonomy line describes SALLY GARRETT (PA)?
For research purposes, treat SALLY GARRETT (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SALLY GARRETT (PA) on a map?
Expect North Fort Myers, Florida as a primary anchor for SALLY GARRETT (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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