Active NPI
Amie Marie Gardner, APRN, FNP-BC
- Nurse Practitioner
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 230753
- Practice address
- 202 Lakeshore Dr
Saint Marys, GA 31558-3876 - Phone
- (912) 534-3085
- NPI assigned
- Aug 20, 2014
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| 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 | |
| Emergency Physicians Inc | Current | Accepting new patients | |
| Coastal Community Health Services 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
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.
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1609298751
-
dba Emergency Resource Group
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
GA
-
dba Coastal Community Health County Clinic
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1063282937
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1972223162
-
dba Coastal Community Health - Waynesville
- Federally Qualified Health Center (FQHC)
- Waynesville, GA
- NPI 1134999006
-
dba Coastal Community Health - Woodbine
- Federally Qualified Health Center (FQHC)
- Woodbine, GA
- NPI 1225808199
-
- Federally Qualified Health Center (FQHC)
- Saint Marys, GA
- NPI 1811602378
-
dba Coastal Community Health - Pooler
- Federally Qualified Health Center (FQHC)
- Pooler, GA
- NPI 1871350090
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Camden Campus
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.