Healthcare Provider Details

I. General information

NPI: 1598022394
Provider Name (Legal Business Name): GARETT RANDALL FRANKLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NEW WAVERLY PL SUITE 200
CARY NC
27518-7414
US

IV. Provider business mailing address

PO BOX 18563
RALEIGH NC
27619-8563
US

V. Phone/Fax

Practice location:
  • Phone: 919-859-5955
  • Fax: 919-859-5659
Mailing address:
  • Phone: 919-859-5955
  • Fax: 919-859-5659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number2015-01724
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2015-01724
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: