Jerry Ryan Gardner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3039 Issued in NC

Practice address

927 Cox Rd
Gastonia, NC 28054-3455

Phone

(704) 824-4463

Fax

(704) 824-4676

NPI assigned

Apr 7, 2006

Last updated

May 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert L. Hay, PAGroup PAC ID 2961406574, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert L. Hay, PA

  dba Hay Clinic of Chiropractic

  • Chiropractor
  • Gastonia, NC
  • NPI 1548234651
  Medicare reassignment Care Compare group NPD Authorized official
• Gaston Thermal Imaging, Inc.

  • Radiology Clinic/Center
  • Gastonia, NC
  • NPI 1538023536
  NPD Authorized official

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1750344206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543455",
            "telephone_number": "704-824-4463",
            "fax_number": "704-824-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543455",
            "telephone_number": "704-824-4463",
            "fax_number": "704-824-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JERRY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085FV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julissa Lizeth Garcia Medrano, LCSWA
• Emily Garcia, ED.S., LPC-A
• Vicki W Gardin, PHARMD
• William Gardin Jr., OTR/L
• Claire Gardiner, OTR/L
• Jessica Gardner, OTR/L
• McCall G. Gardner, PA-C
• Alpana Garg, M.D.
• Andrea Garraway, MA, LCASA
• John Bostian Garrett Jr., M.D.

• Chiropractor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.