Active NPI
Kourtney G. Gardner, M.D.
- Allergy & Immunology Physician
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 958035
- Practice address
- 2540 Madison St Ste a
Clarksville, TN 37043-6591 - Phone
- (931) 802-5297
- Fax
- (865) 584-6384
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 958035 | TN | Primary |
Addresses
Primary practice location
2540 Madison St Ste a
Clarksville, TN 37043-6591
Mailing address
6701 Baum Dr Ste 140
Knoxville, TN 37919-7361
Phone (865) 584-5727
Other practice location 1
310 25th Ave N Ste 101
Nashville, TN 37203-1697
Phone (615) 574-6045
Other practice location 2
300 Stonecrest Blvd Ste 255
Smyrna, TN 37167-6837
Phone (615) 249-4990
Other practice location 3
5073 Columbia Pike Ste 230
Spring Hill, TN 37174-8608
Phone (615) 595-6673
Other practice location 4
400 Sugartree Ln Ste 100
Franklin, TN 37064-3072
Phone (615) 595-6673
Other practice location 5
113 US 70E West Pavilion, Suite 101
Dickson, TN 37055
Phone (615) 326-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Louisville School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
201 Park St
Bowling Green, KY 42101-1708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52158 | KY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients |
Locations
2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
Interoperability endpoints
- kourtneygardner@ggc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Specialist
- Bowling Green, KY
- NPI 1114948288
-
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1194168666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 BAUM DR STE 140",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197361",
"telephone_number": "865-584-5727",
"fax_number": "865-450-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 MADISON ST STE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436591",
"telephone_number": "931-802-5297",
"fax_number": "865-584-6384"
}
],
"practiceLocations": [
{
"address_1": "310 25th Ave N Ste 101",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372031697",
"country_code": "US",
"telephone_number": "615-574-6045",
"fax_number": "865-584-6384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Stonecrest Blvd Ste 255",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371676837",
"country_code": "US",
"telephone_number": "615-249-4990",
"fax_number": "865-584-6384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5073 Columbia Pike Ste 230",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "TN",
"postal_code": "371748608",
"country_code": "US",
"telephone_number": "615-595-6673",
"fax_number": "865-584-6384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Sugartree Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370643072",
"country_code": "US",
"telephone_number": "615-595-6673",
"fax_number": "865-584-6384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 US 70E West Pavilion, Suite 101",
"address_purpose": "LOCATION",
"city": "Dickson",
"state": "TN",
"postal_code": "37055",
"country_code": "US",
"telephone_number": "615-326-9300",
"fax_number": "865-584-6384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "KOURTNEY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "958035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.