Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garrett Shane Surrency, ADVANCEDCARENP

Individual provider Acute Care Nurse Practitioner · NPI 1104348432

Garrett Shane Surrency, ADVANCEDCARENP is an Acute Care Nurse Practitioner in Clayton, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

189 Bo James St Ste 105
Clayton, GA 30525-6199
Phone: (706) 782-0016
Fax: (706) 782-0180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 162472 (GA)

Record details

NPI number1104348432
Entity typeIndividual (Type 1)
GenderMale
Credentials ADVANCEDCARENP
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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