Individual provider Active NPI

Scott Patrick Gardiner, M.D

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1548299001
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
025623 Issued in LA
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1436
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD025623 LA
Anesthesiology Physician 207L00000X 025623 LA Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838

Other practice location 1

7301 Hennessy Blvd
Suite 100
Baton Rouge, LA 70808-4384
Phone (225) 763-6860

Other identifiers 4

IdentifierTypeStateIssuer
84814MedicaidSC
009942897MedicaidAL
1045225MedicaidLA
P00406791OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060110000166 LA Practitioner - Anesthesiology 6002839669 Reassigns benefits to 4 organizations
I20190111002352 GA Practitioner - Anesthesiology 6002839669 Reassigns benefits to 1 organization
I20200526002416 SC Practitioner - Anesthesiology 6002839669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuedge Anesthesia LLCGroup PAC ID 7911340575, 12 clinicians
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians

Practice addresses (Care Compare)

10105 Park Rowe Cir
Baton Rouge, LA 70810-1688
Phone (225) 906-4843

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025623LAMDSpecialist
025623LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Professionals, Inc. Anesthesiology CurrentSince Nov 1, 2006 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Dpi of Louisiana LLC Anesthesiology CurrentSince Jul 12, 2023 Accepting new patients
Dpi of Georgia, LLC Anesthesiology CurrentSince Nov 2, 2018 Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. CurrentSince Apr 30, 2020 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Anesthesiology CurrentSince Feb 23, 2025 Accepting new patients
Nuedge Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Apr 30, 2020 Accepting new patients
Tuhc Anesthesiology Group LLC Anesthesiology Past Accepting new patients

Locations

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

7310 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 236-3100

7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1548299001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603484",
            "telephone_number": "803-765-1838",
            "fax_number": "225-757-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Hennessy Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084384",
            "country_code": "US",
            "telephone_number": "225-763-6860",
            "fax_number": "225-763-6156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD025623",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "025623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84814",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942897",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045225",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00406791",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.