ANDREW WILLIAM GARRISON (MD) – Family Medicine Physician, NPI 1821219379

ANDREW WILLIAM GARRISON (MD) is a healthcare provider. based in Taylorsville, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 6348974-1205 (UT). The NPI Number for ANDREW WILLIAM GARRISON (MD) is 1821219379

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW WILLIAM GARRISON (MD)
NPI
1821219379
Phone
(801) 858-3461
Address
4745 S 3200 W
Enumeration Date
1 May 2007
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8019646214
Graduation Year
2005 (21 years ago)
PAC ID
0648363663
Group Practice PAC ID
5991698169
Professional Enrollment ID
I20090904000528
Address ID
UT841292822TA4745X3200300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for ANDREW WILLIAM GARRISON (MD)

  • 4745 S 3200 W

    TAYLORSVILLE, UT 841292822

    Phone: (801) 858-3461

    Fax: (801) 955-2389

    Type: Mailing

  • 1365 W 1000 N

    SALT LAKE CITY, UT 841161654

    Phone: (801) 328-5750

    Fax: (877) 497-4661

    Type: Mailing

  • 461 S 400 E

    SALT LAKE CITY, UT 841113302

    Phone: (801) 539-8617

    Fax: (801) 537-7238

    Type: Location

  • 8th Ave and C St

    Salt Lake City, UT 841433302

    Phone: (801) 408-5480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-07

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
I20070907000346IFamily PracticeUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84129)

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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: 5991698169View full group profile
NameSpecialtyState
Family PracticeUT
Internal MedicineUT
Family PracticeUT
Family PracticeID
Family PracticeIL
Internal MedicineTX
Clinical Social WorkerUT
Nurse PractitionerUT
-UT
Family PracticeUT

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW WILLIAM GARRISON (MD)'s NPI?
Yes. ANDREW WILLIAM GARRISON (MD) is listed with NPI 1821219379 in the public NPI dataset.
Does CMS list ANDREW WILLIAM GARRISON (MD) as active?
Yes — ANDREW WILLIAM GARRISON (MD) is active in the NPI listing used on this page.
What is ANDREW WILLIAM GARRISON (MD)'s primary classification?
Family Medicine Physician is the headline specialty for ANDREW WILLIAM GARRISON (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW WILLIAM GARRISON (MD)?
ANDREW WILLIAM GARRISON (MD)'s geographic hint is Taylorsville, Utah in our summary view.
Is the information about ANDREW WILLIAM GARRISON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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