Individual provider Active NPI

James Eric Gardner, MD

  • Vascular Surgery Physician
  • Memphis, TN
National Provider Identifier
1801009089
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35417 Issued in TN
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

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00463969OtherRAILROAD
5442058MedicaidTN
00120944MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000254 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 2668410002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Care Physicians of Memphis PLLCGroup PAC ID 1456871771, 2 clinicians

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 Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
97.26 of 100Reported as individual
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Access Care Physicians of Memphis PLLC CurrentSince Nov 1, 2024 Accepting new patients
Ut Medical Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
James Eric Gardner, MD Vascular Surgery PastSince Jan 1, 1990 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

  • Direct secure messaging: james.gardner.p88@direct.aac.nextgenshare.com
  • Direct secure messaging: james.gardner.p9@direct.aac.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.