Individual provider Active NPI

Melanie B Gardner, M.D.

  • Family Medicine Physician
  • Blountsville, AL
National Provider Identifier
1679542096
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21954 Issued in AL
Practice address
68278 Main St
Blountsville, AL 35031-3370
Phone
(833) 429-2324
Fax
(256) 586-2321
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21954 AL Primary

Addresses

Primary practice location

68278 Main St
Blountsville, AL 35031-3370

Mailing address

68278 Main St
Blountsville, AL 35031-3370
Phone (205) 429-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050125000662 AL Practitioner - Family Practice 1052361391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

68278 Main St
Blountsville, AL 35031-3370
Phone (225) 644-3940

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Medical Centers Homecare Home health agency, Albertville, AL, CCN 017128
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • St Vincents Blount Hospital, Oneonta, AL, CCN 011305
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21954ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care Blountsville, LLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Premier Family Care Blountsville, LLC CurrentSince Nov 1, 2020 Accepting new patients
Vincentian Physician Services LLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Clifton Care Inc Family Medicine PastSince Feb 5, 2017 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

68278 Main St
Blountsville, AL 35031
Phone (205) 429-4151

6945 County Highway 1
Cleveland, AL 35049
Phone (205) 625-3367

29829 State Highway 79
Locust Fork, AL 35097
Phone (205) 681-8115

Interoperability endpoints

  • Direct secure messaging: melanie.gardner.1@9069.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDJAD

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1679542096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "205-429-4151",
            "fax_number": "205-429-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68278 MAIN ST",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350313370",
            "telephone_number": "833-429-2324",
            "fax_number": "256-586-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MELANIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountsville, AL

Sources for this page

Verify at the official NPI Registry.