Donald Nelson Gardner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30025 Issued in NC

Practice address

4530 Fayetteville Rd
Raleigh, NC 27603-3614

Phone

(919) 235-1930

NPI assigned

Feb 7, 2006

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Brody School of Medicine at East Carolina University, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfanning@nmgfm.gwaydirect.com
• Direct secure messaging: dgardner@nmgfm.gwaydirect.com
• Direct secure messaging: donald-gardner@prohealthcenter.e-mdsdirect.com
• Direct secure messaging: ngardner386449@directhisp.wakemed.org

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.

• Wake Specialty Physicians, LLC

  • Surgery Physician
  • Raleigh, NC
  • NPI 1942440375

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Northern Hospital District of Surry County

  dba Northern Urgent Care

  • Urgent Care Clinic/Center
  • Mount Airy, NC
  • NPI 1255950325
  Medicare reassignment NPD
• Northwest Medical Partners

  • Rehabilitation Clinic/Center
  • Mount Airy, NC
  • NPI 1497707368
  NPD Authorized official
• Northern Hospital District of Surry County

  dba Northern Urgent Care

  • Rural Health Clinic/Center
  • Mount Airy, NC
  • NPI 1720839228
  NPD
• Northern Hospital of Surry County

  dba Hospitalists of Mount Airy

  • Internal Medicine Physician
  • Mount Airy, NC
  • NPI 1114467404
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park

  • Pediatrics Physician
  • Fuquay Varina, NC
  • NPI 1578334892
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Garner

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1982288262
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Glenwood

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1063096345
  NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Morrisville

  • Family Medicine Physician
  • Morrisville, NC
  • NPI 1174491138
  NPD (past)
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Brightleaf

  • Family Medicine Physician
  • Smithfield, NC
  • NPI 1922879246
  NPD (past)

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

• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  dba WakeMed Raleigh Campus

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1659344141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033614",
            "telephone_number": "919-235-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Mt Airy",
            "state": "NC",
            "postal_code": "270302267",
            "country_code": "US",
            "telephone_number": "336-786-4133",
            "fax_number": "336-786-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 N Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "27030",
            "country_code": "US",
            "telephone_number": "336-786-4133",
            "fax_number": "336-783-3417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DONALD",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659344141",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gardner Family Care
• Brittnie Gardner, NP
• Casey Kimzey Gardner, PHARM.D.
• Consuelo Ann Gardner
• Courtney Gardner
• Dymon Gardner
• Elizabeth Gardner, NP
• Jerome B. Gardner, MD
• Julie Gardner, RPH
• Lars Benjamin Gardner, D.O.

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.