Anna Petty Gardner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-163163 Issued in AL

Practice address

2214 Gateway Dr Ste C
Opelika, AL 36801-6832

Phone

(334) 741-0075

NPI assigned

May 31, 2021

Last updated

Jan 2, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Alabama Family Practice, P.C.Group PAC ID 3173584976, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.gardner.1@14759.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14759/brand/1/csg/1/fhir/r4

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

• East Alabama Family Practice, P.C.

  • Family Medicine Physician
  • Opelika, AL
  • NPI 1386719193
  Medicare reassignment Care Compare group NPD
• Regencell of East Alabama, LLC

  dba RegenCell Metabolics

  • Clinic/Center
  • Auburn, AL
  • NPI 1538945910
  Medicare reassignment NPD

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

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1265008312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 GATEWAY DR STE C",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016832",
            "telephone_number": "334-741-0075",
            "fax_number": "334-741-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 GATEWAY DR STE C",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016832",
            "telephone_number": "334-741-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANNA",
        "middle_name": "PETTY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-163163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "F04210240",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Lyle Fuller, D.O.
• Wendell Elliott Gaillard III, M.S.
• John Gam, PHD
• Gamotis Dental Holdings Inc (Robert D Gamotis DMD)
• Gamper Holdings, LLC
• Felicia Murphy Gardner, CRNP
• William Lee Garrett Jr., M.D.
• Garry Wright
• Leslie Gaultney, LPC
• Makayla Gay

• Family Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.