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

Garrett William Smith

Individual provider Family Nurse Practitioner · NPI 1821766973

Garrett William Smith is a Nurse Practitioner in Marion, Illinois. Qualified in 2021, 5 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
5
Licensed in
IL, TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

2808 E Outer Dr
Marion, IL 62959-5207
Phone: (618) 993-3817
Fax: (618) 993-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 901 S Commercial St, Harrisburg, IL 62946-2640 — (618) 993-3817
  • 2030 Lewis Rd, Harrisburg, IL 62946-4385 — (618) 926-7190

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209024498 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 30314 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821766973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2021
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Marion