Amie Marie Gardner, APRN, FNP-BC
Individual provider Active NPI Nurse Practitioner · Saint Marys, GA
NPI 1609275254 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1609275254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 230753 (GA)
- Practice address
- 202 Lakeshore Dr
Saint Marys, GA 31558-3876 - Phone
- (912) 534-3085
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Community Health Services Inc
Practice addresses (Care Compare)
106 Shoppers Way
Suite 1
Brunswick, GA 31525-0511
Phone (912) 275-8208
202 Lakeshore Dr
Saint Marys, GA 31558-3876
Phone (912) 574-5084
308 Bedell Ave
Woodbine, GA 31569-2091
Phone (912) 576-5999
Hospital & facility affiliations
- Southeast Georgia Health System -- Camden Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190115001109 | GA | Practitioner - Nurse Practitioner | 5799021614 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230753 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services Inc | Current |
Accepting new patients | |
| Coastal Community Health Services, Inc. | Current |
Accepting new patients | |
| Emergency Physicians Inc | Current |
Accepting new patients | |
| Coastal Community Health Services, Inc. | Past | Accepting new patients | |
| Coastal Community Health Services Inc | Past | Accepting new patients | |
| Coastal Community Health Services, Inc. | Past | Accepting new patients | |
| Coastal Community Health Services, Inc. | Past | Accepting new patients | |
| Coastal Community Health Services, Inc. | Past | Accepting new patients |
Locations
1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006
2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347
100 Professional Center Dr
Brunswick, GA 31525
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208
202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085
21300 Highway 82
Waynesville, GA 31566
308 Bedell Ave
Woodbine, GA 31569
Phone (912) 576-5506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 230753 | GA | Yes |
Addresses
Primary practice location
202 Lakeshore Dr
Saint Marys, GA 31558-3876
Mailing address
202 Lakeshore Dr
Saint Marys, GA 31558-3876
Phone (912) 264-3085
Other providers in Saint Marys, GA
- Gainesville Vamc
- Rachel Elizabeth Gale
- Sallie Ann Galyean
- Caitlin Lazurick Gann
- Caitlyn Garay
- Genevieve Lyke Gardner
- Jennifer Marie Gariepy
- Tiana Garvin
- Noemi Garza
- Georgia CVS Pharmacy LLC
All providers in Saint Marys, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.