Tonja A Gantt, N. P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN2136 Issued in SC

Practice address

716 Old Cherokee Rd
Lexington, SC 29072-9406

Phone

(803) 359-2273

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Conner Chiropractic, LLC

  • Chiropractor
  • Lexington, SC
  • NPI 1053404913
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1508868266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 OLD CHEROKEE RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729406",
            "telephone_number": "803-359-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 OLD CHEROKEE RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729406",
            "telephone_number": "803-359-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "TONJA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "APN2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0889",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anoma S Gamage, MD
• Gamble Dentalsmart, PC
• Denise Gamble Waldon, OTR
• Cheryl Bradley Gambrell, M.D.
• Hope Gambrell
• Julian Gapud, D.D.S.
• Gardner Wellness Clinic
• Daniel Junior Gardner, LPN
• John Michael Gardner, DC
• Leanne Morgan Gardner, AUD

• Acute Care Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.