Gardner Fletcher, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10051 Issued in MS

Practice address

200 Hospital Dr W
Hattiesburg, MS 39402-1346

Phone

(601) 296-3000

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Hospice Hospice, Hattiesburg, MS, CCN 251585
• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
• Direct secure messaging: gardner.fletcher.1@1930.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wesley Physician Services LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1538200209

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Marion General Hospital

  • Rural Acute Care Hospital
  • Columbia, MS
  • NPI 1083637904
  NPD (past)
• Pine Belt Anesthesia, LLC

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1831534783
  NPD (past)
• QHG of Hattiesburg Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hattiesburg, MS
  • NPI 1326032400
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Hospice Care of Mississippi, LLC

  • Community Based Hospice Care Agency
  • Hattiesburg, MS
  • NPI 1811900467
  Care Compare affiliation
• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1114982485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR W",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021346",
            "telephone_number": "601-296-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR W",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021346",
            "telephone_number": "601-296-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "GARDNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "10051",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10051",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MS",
            "license": "10051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gardner.fletcher.1@1930.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "200 Hospital Dr W",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394021346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Fisher, D.O.
• John Carey Fitzpatrick, MD
• John M Fitzpatrick, MD
• Madeline Campbell Fitzpatrick, MD
• Lindsey Flaccomio
• Gordon Earl Fletcher, D.D.S.
• Stephen Gardner Fletcher, DO
• Victor A Fletcher, DDS FACP
• Alexandra C Flint, ATC
• Herbert Floyd, MD

• Internal Medicine Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.