Vincent Wayne Gardner, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

46227 Issued in TN

Practice address

1405 Cowart St
Suite 321
Chattanooga, TN 37408-1127

Phone

(423) 551-8346

Fax

(423) 551-8347

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

General Surgery

Education

University of South Alabama College of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

Locations

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.

• The Vein Institute, PC

  • Phlebology Physician
  • Chattanooga, TN
  • NPI 1437524683
  Medicare reassignment NPD Authorized official
• Advanced Surgical Concepts PLLC

  • Specialist
  • Chattanooga, TN
  • NPI 1407947203
  NPD (past)
• Revive Orthopedics Spine & Sports Medicine, Inc

  • Multi-Specialty Clinic/Center
  • Lithia Springs, GA
  • NPI 1306563663
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1962476358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 COWART ST",
            "address_2": "SUITE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081127",
            "telephone_number": "423-551-8346",
            "fax_number": "423-551-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COWART ST",
            "address_2": "SUITE 321",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081127",
            "telephone_number": "423-551-8346",
            "fax_number": "423-551-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "VINCENT",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TN",
            "license": "46227",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "46227",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "061073",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "061073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gardenhire
• Tom M Gardenhire Jr., D.D.S.
• Jennifer Ann Gardner Cummins, MA
• John Kevin Gardner, C.P.
• Paul Gardner, D.D.S.
• Warren Ewing Gardner II, MD
• Katie Marie Gareri, M.ED., BCBA
• Misha Wiegand Garey, D.D.S.
• Alexander Garland III, APRN, PMHNP-BC
• Kimberly M. Garland, APRN, BC

• Phlebology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Phlebology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.