Alan Gardner MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALAN GARDNER MD, PC

Practice address

2550 Windy Hill Rd SE
220
Marietta, GA 30067-8665

Phone

(909) 335-8638

Fax

(909) 335-8644

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Alan Gardner, MD

Title

Owner

Phone

(909) 335-8638

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Michael S. Kelleher, PA-C

  • Medical Physician Assistant
  • Marietta, GA
  • NPI 1326001272
  NPD
• Beverly D Connolly, PA C

  • Physician Assistant
  • Leesburg, FL
  • NPI 1285607820
  NPD
• Shannon Donell Nelson, MD

  • Internal Medicine Physician
  • Lithia Springs, GA
  • NPI 1669696829
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1437216876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "909-335-8638",
            "fax_number": "909-335-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN GARDNER MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-335-8638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Al-Badri, MD
• Ahmad Al-Rafati, MD
• Cal Melisa Alaba-Yusouf, MA, LPC
• Alejandro R Alam-Gonzalez, M.D.
• Ikeade Bello Alamu, NP-C
• Carlos I Alarcon, M.D.
• Alaven Pharmaceutical LLC
• Alb Healthcare, LLC
• Bilal Albaba, DC
• Lara Albanese, MA

• Dermatology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.