Individual provider Active NPI

Kourtney G. Gardner, M.D.

  • Allergy & Immunology Physician
  • Clarksville, TN
National Provider Identifier
1194168666
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
958035 Issued in TN
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

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805000731 KY Practitioner - Allergy/Immunology 7911292081 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
52158KYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Sep 1, 2019 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.