Individual provider Active NPI

Savannah Gardner, DC

  • Chiropractor
  • Southern Pines, NC
National Provider Identifier
1295407476
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5589 Issued in NC
Practice address
262 Pinehurst Ave
Southern Pines, NC 28387-6351
Phone
(910) 704-4820
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010639 GA
Chiropractor 111N00000X 5589 NC Primary

Addresses

Primary practice location

262 Pinehurst Ave
Southern Pines, NC 28387-6351

Mailing address

277 Champions Ridge Dr
Southern Pines, NC 28387-2979
Phone (910) 704-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001003509 NC Practitioner - Chiropractic 4486150232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

262 Pinehurst Ave
Suite a
Southern Pines, NC 28387-6351

262 Pinehurst Ave a
Southern Pines, NC 28387-7044

277 Champions Ridge Dr
Southern Pines, NC 28387-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5589NCMDPsychologist
CHIR010639GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Co Chiropractic, PLLC Chiropractor CurrentSince Jul 8, 2025 Accepting new patients
Beres Chiropractic Center, Inc Chiropractor PastSince Oct 1, 2021 Accepting new patients

Locations

262 Pinehurst Ave
Ste A
Southern Pines, NC 28387
Phone (910) 704-4820

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1295407476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 CHAMPIONS RIDGE DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872979",
            "telephone_number": "910-704-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 PINEHURST AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876351",
            "telephone_number": "910-704-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SAVANNAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010639",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.