MR. GARY COURTLAND PETTIT BA
NPI 1114366614
Case Manager/Care Coordinator in Fort Pierce, FL

Q: What is Gary Pettit's NPI number?

The NPI number for Gary Pettit is 1114366614. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Q: What is Gary Pettit's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Pettit was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since June 18, 2013

1616 FRANCES AVE, FORT PIERCE, FL 34949(772) 519-9197 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Gary Courtland Pettit Ba NPPES

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

MR. GARY COURTLAND PETTIT BA (NPI 1114366614) is an individual case manager/care coordinator provider in Fort Pierce, Florida and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1114366614

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. GARY COURTLAND PETTITCredential: BA

Location Address1616 FRANCES AVEFort Pierce, FL 34949-3559

Mailing Address1616 Frances AveFort Pierce, FL 34949-3559 · (772) 519-9197

Phone(772) 519-9197

Sole ProprietorYes

Enumeration DateJune 18, 2013

✔ NPI 1114366614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1616 FRANCES AVE, Fort Pierce, FL 34949

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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 Gary Pettit's NPI number?

The NPI number for Gary Pettit is 1114366614. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Gary Pettit located?

Gary Pettit practices at 1616 Frances Ave, Fort Pierce, FL 34949. The listed phone number is (772) 519-9197.

What is Gary Pettit's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gary Pettit was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.