Healthcare Provider Details

I. General information

NPI: 1487663886
Provider Name (Legal Business Name): KRISTA MARIE GARNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE STE B2200
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

2610 MUSKOGEE LN
BRASELTON GA
30517-6001
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-1984
  • Fax: 404-712-0116
Mailing address:
  • Phone: 404-402-9898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberR128220
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: