Debra Gardner, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

16546 Issued in AL

Practice address

3290 Dauphin St
Suite 301
Mobile, AL 36606-4062

Phone

(251) 435-5437

Fax

(251) 435-6744

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgardner14646@directinfirmaryhealth.org

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.

• Imc-Pediatric & Adolescent Medicine, LLC

  • Pediatric Adolescent Medicine Physician
  • Mobile, AL
  • NPI 1205905361

  Adolescent Medicine

  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1124056957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 AIRPORT BLVD STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082201",
            "telephone_number": "251-435-5437",
            "fax_number": "251-435-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST",
            "address_2": "SUITE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064062",
            "telephone_number": "251-435-5437",
            "fax_number": "251-435-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "16546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrea Layne Garand, PHD, CSCD, CCC-SLP
• Jillian Garcia
• Phoebe Garcia
• Joy Darby Gardberg, R.D.
• Alexandria Shorie' Gardner, BCBA
• Lacie Gardner
• Lloyd Gardner, MD
• Micaela Gardner, RBT
• Srikanth Garlapati
• Christy Kight Garmon, PHARMD

• All providers in Mobile, AL
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.