Organization Active NPI

Gardner Wellness Clinic

  • Chiropractor
  • Lexington, SC
National Provider Identifier
1396773040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
878 Issued in SC
Legal business name
GARDNER WELLNESS CLINIC
Practice address
165 Spring Tyme LN
Lexington, SC 29073-7275
Phone
(803) 785-7885
Fax
(803) 791-4966
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeri M Gardner
Title
Office Manager
Phone
(803) 237-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 878 SC Primary

Addresses

Primary practice location

165 Spring Tyme LN
Lexington, SC 29073-7275

Mailing address

165 Spring Tyme LN
Lexington, SC 29073-7275
Phone (803) 785-7885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396773040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SPRING TYME LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737275",
            "telephone_number": "803-785-7885",
            "fax_number": "803-791-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SPRING TYME LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737275",
            "telephone_number": "803-785-7885",
            "fax_number": "803-791-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-237-4191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.