Individual provider Active NPI

Michael Leonard Garner, M.D.

  • Dermatology Physician
  • Boone, NC
National Provider Identifier
1629451141
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
201901147 Issued in NC
Practice address
169 Doctors Dr
Boone, NC 28607-5017
Phone
(828) 264-4553
NPI assigned
Jul 1, 2015
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 201901147 NC Primary
Internal Medicine Physician 207R00000X LL38257 SC

Addresses

Primary practice location

169 Doctors Dr
Boone, NC 28607-5017

Mailing address

169 Birch St
Boone, NC 28607-5069
Phone (828) 264-4553

Other practice location 1

101 E Wood St
Attn: Graduate Medical Education
Spartanburg, SC 29303-3040
Phone (864) 560-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190816002199 NC Practitioner - Dermatology 2961710686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Dermatology ClinicGroup PAC ID 8224062666, 12 clinicians

Practice addresses (Care Compare)

169 Doctors Dr
Boone, NC 28607-5017
Phone (828) 264-4553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as group
Quality
66
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions2028
Removal or shaving of skin growth742
Skin biopsy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL38257SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Dermatology Clinic Dermatology CurrentSince Aug 12, 2019 Accepting new patients

Locations

169 Birch St
Boone, NC 28607
Phone (828) 264-4553

169 Doctors Dr
Boone, NC 28607
Phone (828) 264-4553

Organizations & group practices 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1629451141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075017",
            "telephone_number": "828-264-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_2": "Attn: Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6000",
            "fax_number": "864-560-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201901147",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL38257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.