Active NPI
Leanne Morgan Gardner, AUD
- Audiologist
- Lexington, SC
National Provider Identifier
1679132450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD4119
- Practice address
- 157 Corley Mill Rd
Lexington, SC 29072-7600 - Phone
- (803) 256-2483
- NPI assigned
- Jun 6, 2019
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD4119 | SC | Primary |
Addresses
Primary practice location
157 Corley Mill Rd
Lexington, SC 29072-7600
Mailing address
157 Corley Mill Rd
Lexington, SC 29072-7600
Phone (803) 256-2483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD4119 | Other | SC | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.centamedical.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD4119 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centa Medical Group PA | Current | Accepting new patients |
Locations
157 Corley Mill Rd
Lexington, SC 29072
Phone (803) 256-2483
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Lexington, SC
- NPI 1881626133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1679132450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CORLEY MILL RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727600",
"telephone_number": "803-256-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CORLEY MILL RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727600",
"telephone_number": "803-256-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "LEANNE",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2023-07-13",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "AUD4119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AUD4119",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.centamedical.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "address",
"address_1": "157 Corley Mill Rd",
"city": "Lexington",
"state": "SC",
"country_code": "US",
"postal_code": "290727600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.