Individual provider Active NPI

Morgan Ann Gardner, MD

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1477085058
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2020-00265 Issued in NC
Practice address
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone
(336) 716-9150
Fax
(336) 702-9166
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301505940 MI
Pediatrics Physician 208000000X 2020-00265 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2005 Pisgah Church Rd
Greensboro, NC 27455-3309

Mailing address

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 716-9150

Other practice location 1

2305 Genoa Business Park Dr Ste 240
Brighton, MI 48114-7005
Phone (810) 494-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001136 NC Practitioner - Pediatric Medicine 7517238702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Central Michigan College of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-00265NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 1, 2025 Accepting new patients

Locations

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 1

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1477085058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150",
            "fax_number": "336-702-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150",
            "fax_number": "336-702-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Genoa Business Park Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481147005",
            "country_code": "US",
            "telephone_number": "810-494-6820",
            "fax_number": "810-229-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MORGAN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301505940",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2020-00265",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.