ALEX M GARDNER


Address: 4425 Paulsen St, Savannah, GA 31405
Phone: 9123556615

ALEX M GARDNER (NPI# 1669846812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669846812
Entity Type Individual
Full Name ALEX M GARDNER
Credential APRN
Practice Address 4425 Paulsen St
Savannah
GA 31405
Mailing Address 4425 Paulsen St
Savannah
GA 31405-3662
Practice Telephone 9123556615
Practice Fax Number 9123510645
Mailing Telephone 9123556615
Mailing Fax Number 9123510645
Enumeration Date 2015-11-25
Last Update Date 2018-05-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN276968 GA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 20122 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 Towne Center Blvd Ste 602, Pooler, GA 313224071 9123556615 9123510645
11702 Mercy Blvd Ste 2d, Savannah, GA 314191777 9123556615 9123510645
1203 Gandy Dancer, Richmond Hill, GA 313248895 9123556615 9123510645
1326 Eisenhower Dr Bldg 1, Savannah, GA 314063928 9123556615 9123510645
613 Towne Park Dr W Ste 303-304, Rincon, GA 313265182 9123556615 9123510645

Office Location

Street Address 4425 PAULSEN ST
City SAVANNAH
State GA
Zip Code 31405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588658363 Jennifer S Green Physician Assistant 4425 Paulsen St, Savannah, GA 31405-3637 2005-09-07
1760028658 Kelsey Byrd Physician Assistant 4425 Paulsen St, Savannah, GA 31405-3662 2019-11-26
1437649738 Ryan Stephen Polsinelli Physician Assistant 4425 Paulsen St, Savannah, GA 31405-3662 2018-05-14
1093243545 Michael Mcewen Physician Assistant 4425 Paulsen St, Savannah, GA 31405-3662 2017-05-30
1023544111 Jason Miller Physician Assistant 4425 Paulsen St, Savannah, GA 31405-3662 2017-05-10
1184097313 Epix Anesthesia of Georgia PC Nurse Anesthetist, Certified Registered 4425 Paulsen St, Savannah, GA 31405-3662 2015-11-10
1285003251 Lindsay Blake Sharpe Occupational Therapist 4425 Paulsen St, Savannah, GA 31405-3662 2015-09-21
1730572587 Timothy Czarnecki Physical Therapist 4425 Paulsen St, Savannah, GA 31405-3662 2015-03-17
1023410586 Charmaine Quirimit Pham Nurse Practitioner 4425 Paulsen St, Savannah, GA 31405 2014-09-16
1407276306 Mims Gage Ochsner IIi Orthopaedic Surgery 4425 Paulsen St, Savannah, GA 31405-3662 2014-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053918441 Nicole Marie Tetro Anesthesiology Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 2020-10-08
1154983880 Nickes Medical Supply, LLC. Durable Medical Equipment & Medical Supplies 6020 Halsey St, Savannah, GA 31405 2019-07-02
1215593025 Lee Ann Ryle Nurse Practitioner 5223 Paulsen St., Savannah, GA 31405 2019-05-16
1942765334 Raegan Epps Behavior Technician 613 Stephenson Ave Ste 205, Savannah, GA 31405 2019-02-10
1679050454 Phenomenal Nursing Service Registered Nurse 604 South St., 604 South St, Savannah, GA 31405 2018-07-24
1275029472 Chelsea Amanda Keedy Pharmacist 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 2018-07-11
1265933840 Dwc-p LLC Dentist 5209 Paulsen Street, Savannah, GA 31405 2018-02-28
1386153005 Aaron Shaw Hearing Instrument Specialist 5501 Abercorn St Ste E, Savannah, GA 31405 2017-09-26
1063946028 Elizabeth Bentley Bruhn-danello Dietitian, Registered 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 2017-04-17
1396278230 Theresa Lynn George Health Educator 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 2017-04-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174157218 Mh 102, PC Nurse Practitioner 813 E 68th St Ste B, Savannah, GA 31405-4710 2020-02-27
1780216614 Jennifer Leigh Burroughs Nurse Practitioner 2210 E 37th St, Savannah, GA 31404-3843 2020-02-08
1609376359 Jessica Sierra Letcher Nurse Practitioner 4a Skidaway Village Walk, Savannah, GA 31441 2018-02-20
1982006078 Brittany Frankhouser Smith Nurse Practitioner 225 Candler Dr Ste 201, Savannah, GA 31405 2014-09-19
1306112248 Elizabeth Windom Stewart Nurse Practitioner 300 Bull St Ste 102, Savannah, GA 31401 2012-03-26
1457636458 Ashley Brooke Andrews Nurse Practitioner 4750 Waters Ave Ste 108, Savannah, GA 31404-6267 2011-10-21
1366697419 Jessica Rittie Adkins Nurse Practitioner 4849 Paulsen St Ste 312, Savannah, GA 31405 2008-11-17
1780866830 Teresa D Dailey Nurse Practitioner 255 Wayne Rd, Savannah, TN 38372-1947 2007-11-30
1851593594 Melanie A Reaves Pllc Nurse Practitioner 1440 Pickwick St, Savannah, TN 38372 2007-06-04
1710192109 Jennifer C. Adams Nurse Practitioner 4 Jackson Blvd., Savannah, GA 31405 2007-05-11
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Competitor

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City SAVANNAH
Zip Code 31405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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