Timothy James Garrahy, APRN
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1013530807
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1013530807
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy James Garrahy
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2020
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11007253 | FL | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | APRN11007253 | FL |
Practice location
800 Prudential Dr Ste 1100Jacksonville, FL 32207-8202
Phone 904-388-6518 · Fax 904-384-1005
Mailing address
800 Prudential Dr Fl B11Jacksonville, FL 32207-8202
Phone 904-388-6518 · Fax 904-384-1005
Other practice locations
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Jacksonville, FL 32224-1865
Phone 904-953-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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