Individual provider Active NPI

Spencer Rodwell Gardner, CRNA

  • Certified Registered Nurse Anesthetist
  • Washington, NC
National Provider Identifier
1366453185
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2449 Issued in NC
Practice address
316 Sunnyside Dr
Washington, NC 27889-9227
Phone
(252) 343-6677
NPI assigned
Aug 10, 2006
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 051808 NC
Certified Registered Nurse Anesthetist 367500000X 2449 NC Primary
Registered Nurse 163W00000X 149935 NC

Addresses

Primary practice location

316 Sunnyside Dr
Washington, NC 27889-9227

Mailing address

316 Sunnyside Dr
Washington, NC 27889-9227
Phone (252) 343-6677

Other practice location 1

2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140 ext. 102

Other identifiers 1

IdentifierTypeStateIssuer
8051543MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100928001512 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284750167 Reassigns benefits to 15 organizations
I20180112000023 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284750167 Reassigns benefits to 1 organization
I20191202001986 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284750167 Reassigns benefits to 1 organization
I20220125002138 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284750167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6661

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2449NCMDMarriage & Family Therapist
149935NCMDRegistered Nurse
051808NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2000 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
East Carolina Health Anesthesiology CurrentSince Feb 10, 2023 Accepting new patients
Granville Health System CurrentSince Jul 1, 2019 Accepting new patients
East Carolina Health - Heritage Inc Anesthesiology CurrentSince Aug 15, 2010 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Apr 1, 2022 Accepting new patients
Atlantic Gastroenterology Endoscopy Center, PA CurrentSince Jan 1, 2013 Accepting new patients
Nash Hospitals Inc CurrentSince Sep 18, 2000 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
East Carolina Health - Chowan Inc CurrentSince Apr 4, 2022 Accepting new patients
East Carolina Health CurrentSince Feb 10, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 23, 2023 Accepting new patients
Raleigh Sedation Associates LLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Onslow Memorial Hospital, Inc. Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Jun 4, 2012 Accepting new patients
East Carolina Health - Chowan Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2022 Accepting new patients
Atlantic Gastroenterology PA CurrentSince Jan 1, 2013 Accepting new patients
Williamston Clinic Corp CurrentSince Jun 1, 2019 Accepting new patients
East Carolina Health - Heritage Inc CurrentSince Aug 15, 2010 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients
Eastern Carolina Sedation Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 29)

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

102 Bethesda Dr
Greenville, NC 27834
Phone (252) 847-7700

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140

2465 Emerald Pl
Greenville, NC 27834
Phone (252) 758-2424

704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1366453185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SUNNYSIDE DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278899227",
            "telephone_number": "252-343-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SUNNYSIDE DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278899227",
            "telephone_number": "252-343-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Emerald Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345743",
            "country_code": "US",
            "telephone_number": "252-752-2140 x102",
            "fax_number": "252-565-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SPENCER",
        "middle_name": "RODWELL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "051808",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "2449",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "149935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.