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GARRETT SHANE SURRENCY ADVANCED CARE NP
NPI 1104348432
Nurse Practitioner - Acute Care in Clayton, GA

Active since July 07, 2017PECOS Enrolled
90.48/100
CMS Quality Rating
189 BO JAMES ST STE 105, CLAYTON, GA 30525(706) 782-0016(706) 782-0180 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Jul 7, 2017 (2 updates tracked since 2017).

About Garrett Shane Surrency Advanced Care Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARRETT SHANE SURRENCY ADVANCED CARE NP (NPI 1104348432) is an individual acute care provider in Clayton, Georgia, licensed in Georgia (162472) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104348432
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameGARRETT SHANE SURRENCYCredential: ADVANCED CARE NP
Location Address189 BO JAMES ST STE 105Clayton, GA 30525-6199
Mailing AddressPo Box 654Sparks, GA 31647-0654 · (229) 848-9383
Phone(706) 782-0016
Fax(706) 782-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 7, 2017
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1104348432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · 162472
189 BO JAMES ST STE 105, Clayton, GA 30525
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garrett Shane Surrency Advanced Care Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517239502
PECOS Enrollment IDI20170825002328
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Garrett Surrency reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Point Medical, LLC
Same address
Medical Specialty
189 BO JAMES STREET, SUITE 105
Clayton, GA 30525
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1154870533 (706) 782-0016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
355 services290 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Mountain Lakes Medical Center

Critical Access Hospitals · Clayton, GA
OwnershipProprietary
CMS Certification Number111336
Location162 Legacy PointClayton, GA 30525 · Rabun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers15 claims15 services$48.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$119.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC
Clinic/Center (Multi-Specialty)
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 282-4200
MR. JOHN RICHARD WILLIAMS I PA-C
Physician Assistant
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 782-0016
MR. BRIAN DAVID JAMAIL PA-C
Physician Assistant
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 782-0016
DR. TIMOTHY SCOTT BECK M.D.
Internal Medicine
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 782-0016
MS. MONIQUE DIANE PETTEYS FNP-C
Nurse Practitioner (Family)
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 782-0016
PAMILA SHELTON MCINTYRE A-GNP-C
Nurse Practitioner
189 BO JAMES ST STE 105
CLAYTON, GA 30525
Rabun County (706) 782-0016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garrett Surrency's NPI number?

The NPI number for Garrett Surrency is 1104348432. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Garrett Surrency located?

Garrett Surrency practices at 189 Bo James St Ste 105, Clayton, GA 30525. The listed phone number is (706) 782-0016.

What is Garrett Surrency's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Garrett Surrency enrolled in Medicare?

Yes. Garrett Surrency is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Garrett Surrency's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garrett Surrency reassigns Medicare benefits to Life Point Medical, LLC (Clayton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Garrett Surrency's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Garrett Surrency affiliated with any hospitals?

According to CMS data, Garrett Surrency is affiliated with Sgmc Health and Mountain Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Garrett Surrency was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.