Ariel Gardner, PA-C
Individual provider Active NPI Physician Assistant · West End, NC
NPI 1376908830 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1376908830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-11189 (NC)
- Practice address
- 4208 Murdocksville Rd
West End, NC 27376-8871 - Phone
- (910) 235-5900
- Fax
- (910) 235-3447
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Robeson Emergency Physicians PLLC
Practice addresses (Care Compare)
300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000
Hospital & facility affiliations
- Cape Fear Valley Hoke Hospital
- Firsthealth Moore Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601001520 | NC | Practitioner - Physician Assistant | 8921305855 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56812 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-8, LLC | Current |
Accepting new patients | |
| MCPC-8, LLC | Current |
Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current |
Accepting new patients | |
| North Carolina Emergency Physicians, PLLC | Current |
Accepting new patients | |
| Robeson Emergency Physicians, PLLC | Current |
Accepting new patients | |
| Longs Park Emergency Physicians PLLC | Past |
Accepting new patients | |
| Two Rivers Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients | |
| Hospital Based Medical Services of Tennessee-I PC | Physician Assistant | Past | Accepting new patients |
Locations
208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040
3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100
1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200
4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100
1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250
555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518
1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055
200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330
4208 Murdocksville Rd
West End, NC 27376
Phone (910) 235-5900
7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100
Interoperability endpoints
- agardner137749@capefearvalley.direct-ci.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- agardner3047930@carolinashealthcaresystem.direct-ci.com
- arielgardner@phmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0010-11189 | NC | Yes |
| Physician Assistant | 363A00000X | 56812 | CA |
Addresses
Primary practice location
4208 Murdocksville Rd
West End, NC 27376-8871
Mailing address
4208 Murdocksville Rd
West End, NC 27376-8871
Phone (910) 235-5900
Other practice location 1
108 Providence Trl
MT Juliet, TN 37122-6386
Phone (615) 466-0041
Other practice location 2
108 Providence Trl
MT Juliet, TN 37122-6386
Phone (615) 466-0041
Other practice location 3
2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-2600
Other practice location 4
501 Lighthouse Ave
Monterey, CA 93940
Phone (831) 649-0770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q023242 | Medicaid | TN |
Other providers in West End, NC
- Firsthealth of the Carolinas, Inc
- Firsthealth of the Carolinas, Inc
- Firsthealth of the Carolinas, Inc.
- Firsthealth of the Carolinas, Inc.
- Ronald David Franklin
- Ryan Garner
- Tracy Ann Goldberg
- Kerry Goldman
- Stephanie Graves
- Kimberly G Greer
All providers in West End, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.