Carol C Gardner, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

ME86611 Issued in FL

Practice address

9400 Turkey Lake Rd
Orlando, FL 32819-8001

Phone

(407) 351-8500

NPI assigned

Feb 6, 2006

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

University of Florida College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Cornerstone Health Services LLCGroup PAC ID 2668691148, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Shepherd Hospice Hospice, Lakeland, FL, CCN 101550
• Hospice of Lake & Sumter Inc Hospice, Tavares, FL, CCN 101525

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.gardner.1@22792.direct.athenahealth.com

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.

• Cornerstone Health Services LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Tavares, FL
  • NPI 1912327941
  Medicare reassignment Care Compare group NPD
• Chapters Health Palliative Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Temple Terrace, FL
  • NPI 1073683553
  Medicare reassignment NPD
• Cornerstone Health Services LLC

  dba Cornerstone Centers for Wellbeing

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1174157986
  NPD

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

• Cornerstone Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • Tavares, FL
  • NPI 1619028313
  Care Compare affiliation
• Good Shepherd Hospice, Inc.

  dba Good Shepherd Hospice

  • Community Based Hospice Care Agency
  • Lakeland, FL
  • NPI 1235283151
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1629040597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 LANE PARK RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789648",
            "telephone_number": "352-343-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198001",
            "telephone_number": "407-351-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33805",
            "country_code": "US",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME86611",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME86611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden of Eden Medical Group LLC
• Alexandra Gardi
• Rosa A Gardiner, OTRL
• Nicole Gardner Luciano
• Brent F Gardner, MD
• Devannah Victoria Gardner, APRN
• Jazmin Stephanie Gardner, DOULA
• Jon Paul Gardner
• Paul Peder Gardner, D.C.
• Ruth Gardner

• Hospice and Palliative Medicine (Internal Medicine) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.