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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRANDA GARRETT MD
NPI 1104567858
Medical Genetics - Clinical Genetics (M.D.) in Indianapolis, IN

Active since April 06, 2022PECOS Enrolled
1002 WISHARD BLVD STE 1100, INDIANAPOLIS, IN 46202(317) 944-3966 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Apr 6, 2022 (2 updates tracked since 2022).

About Miranda Garrett Md NPPES

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

MIRANDA GARRETT MD (NPI 1104567858) is an individual clinical genetics (m.d.) provider in Indianapolis, Indiana, licensed in Indiana (01099669A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of University Of Connecticut School Of Medicine (2022).

NPPES Registry Identity

NPI1104567858
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameMIRANDA GARRETTCredential: MD
Location Address1002 WISHARD BLVD STE 1100Indianapolis, IN 46202-4164
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-3966
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1104567858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in IN · 01099669A
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 01099669A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1002 WISHARD BLVD STE 1100, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1705 Riley Hospital Dr, RI-5837Indianapolis, IN 46202-5109 · Phone (317) 944-4034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Garrett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608255807
PECOS Enrollment IDI20260715004279
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.

Other Providers at the Same Location NPPES 17

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

ALEXIS ANN MCENTIRE MS, CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-2801
NATALIE D MICHAELS CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966
ALEXANDRA JACQUELINE BROWN PA-C
Physician Assistant
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812
ALYCE OVERTON SWISHER BSN
Registered Nurse (College Health)
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 250-1747
DR. CORINNE NICOLE BLACKBURN MD
Pediatrics (Adolescent Medicine)
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812
DR. NOMI KATE SHERWIN M.D.
Pediatrics (Adolescent Medicine)
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 274-8812
ADRIANNA F BLACK CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966
MS. CAMILLE OLIVIA ALLISON CGC
Genetic Counselor, MS
1002 WISHARD BLVD STE 1100
INDIANAPOLIS, IN 46202
Marion County (317) 944-3966

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 Miranda Garrett's NPI number?

The NPI number for Miranda Garrett is 1104567858. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Miranda Garrett located?

Miranda Garrett practices at 1002 Wishard Blvd Ste 1100, Indianapolis, IN 46202. The listed phone number is (317) 944-3966.

What is Miranda Garrett's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Miranda Garrett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miranda Garrett was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.