Active NPI
James Eric Gardner, MD
- Vascular Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35417
- Practice address
- 1750 Madison Ave
Suite 300
Memphis, TN 38104-6492 - Phone
- (901) 861-8088
- Fax
- (901) 861-8082
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 35417 | TN | Primary |
Addresses
Primary practice location
1750 Madison Ave
Suite 300
Memphis, TN 38104-6492
Mailing address
PO Box 38238
Germantown, TN 38183-0238
Phone (901) 861-8088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00463969 | Other | RAILROAD | |
| 5442058 | Medicaid | TN | |
| 00120944 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6490 Mount Moriah Rd Ext
Suite 202
Memphis, TN 38115-3841
Phone (901) 861-8088
Hospital & facility affiliations
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.26 of 100
- Quality
- 57.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group Inc | Current | Accepting new patients | |
| Access Care Physicians of Memphis PLLC | Current | Accepting new patients | |
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| James Eric Gardner, MD | Vascular Surgery | Past | Accepting new patients |
Locations
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
6490 Mount Moriah Road Ext
Ste 202
Memphis, TN 38115
Phone (901) 366-5479
Interoperability endpoints
- james.gardner.p88@direct.aac.nextgenshare.com
- james.gardner.p9@direct.aac.nextgenshare.com
- james.gardner.mem@direct.vac.nextgenshare.com
Organizations & group practices 5
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.
-
- Vascular & Interventional Radiology Physician
- Memphis, TN
- NPI 1447071113
-
- Vascular Surgery Physician
- Memphis, TN
- NPI 1881901163
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
-
- Vascular Surgery Physician
- Collierville, TN
- NPI 1588857148
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1801009089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38238",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381830238",
"telephone_number": "901-861-8088",
"fax_number": "901-861-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 MADISON AVE",
"address_2": "SUITE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046492",
"telephone_number": "901-861-8088",
"fax_number": "901-861-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JAMES",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "35417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00463969",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5442058",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120944",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.