Robert W Gardner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200201082 Issued in NC

Practice address

3150 Rogers Rd
Suite 101
Wake Forest, NC 27587-4195

Phone

(919) 504-4000

Fax

(984) 235-1250

NPI assigned

Oct 4, 2006

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

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

University of North Carolina at Chapel Hill School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Family First Primary Care PLLCGroup PAC ID 4082929237, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed Home Health Home health agency, Raleigh, NC, CCN 347179
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.gardner.1@11261.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11261/brand/1/csg/1/fhir/r4

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.

• Family First Primary Care PLLC

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1336526383
  Medicare reassignment Care Compare group NPD Authorized official
• Eagle Physicians and Associates PA

  • Sleep Medicine (Internal Medicine) Physician
  • Greensboro, NC
  • NPI 1609070648
  NPD (past)

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

• Wakemed

  • Home Health Agency
  • Raleigh, NC
  • NPI 1467435842
  Care Compare affiliation
• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1740375443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874195",
            "telephone_number": "919-504-4000",
            "fax_number": "984-235-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874195",
            "telephone_number": "919-504-4000",
            "fax_number": "984-235-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Gambino, PA-C
• Meghan Lucy Clair Gamelin, M.D.
• Ganglani Wake Forest PLLC
• Cameron Yessenia Garcia
• Austin John Gardner, PT, DPT
• Valarie Tucker Gardner, MSW, LCSW
• Gastroenterology & Hepatology Consultants, PA
• Gastroenterology & Hepatology Consultants, PA
• Floleshia Gates
• Brian Gentile

• Family Medicine Physician in Wake Forest, NC
• Providers in Wake Forest, 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 18, 2015; 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.