Individual provider Active NPI

Courtney Paden Morris Gardner, NP

  • Nurse Practitioner
  • Marion, NC
National Provider Identifier
1790042455
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005573 Issued in NC
Practice address
147 N Garden St
Marion, NC 28752-3709
Phone
(828) 559-1227
NPI assigned
Apr 19, 2012
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 50550073 NC
Nurse Practitioner 363L00000X 5005573 NC Primary

Addresses

Primary practice location

147 N Garden St
Marion, NC 28752-3709

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2823

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000477 NC Practitioner - Nurse Practitioner 9032372917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
50550073NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Pediatrics and Adolescents Pediatrics PastSince Sep 1, 2024 Accepting new patients
McDowell Hospital Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: courtney.gardner.1@21050.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1790042455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-250-2823",
            "fax_number": "828-250-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N GARDEN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523709",
            "telephone_number": "828-559-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS GARDNER",
        "first_name": "COURTNEY",
        "middle_name": "PADEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "50550073",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.