Individual provider Active NPI

Amie Marie Gardner, APRN, FNP-BC

  • Nurse Practitioner
  • Saint Marys, GA
National Provider Identifier
1609275254
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
230753 Issued in GA
Practice address
202 Lakeshore Dr
Saint Marys, GA 31558-3876
Phone
(912) 534-3085
NPI assigned
Aug 20, 2014
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 230753 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115001109 GA Practitioner - Nurse Practitioner 5799021614 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230753GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Emergency Physicians Inc CurrentSince Dec 15, 2018 Accepting new patients
Coastal Community Health Services Inc CurrentSince Sep 25, 2023 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

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-1626

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1609275254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAKESHORE DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583876",
            "telephone_number": "912-264-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAKESHORE DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583876",
            "telephone_number": "912-534-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "AMIE",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "230753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.