Jonathan Parks Gardner, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

28124 Issued in SC

Practice address

9404 Highway 78 Ste 100
Ladson, SC 29456-3909

Phone

(843) 737-0437

Fax

(843) 789-3053

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, KY2 enrollments

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 2

Specialty

Anesthesiology

Education

Medical University of South Carolina College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Carolina Pain PhysiciansGroup PAC ID 5395983829, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.78 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.6

Merit-based Incentive Payment System (MIPS)

Final score

73.48 of 100Reported as individual

Quality

55.59

Promoting interoperability

93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14377/brand/1/csg/1/fhir/r4
• Direct secure messaging: jonathan.gardner.1@14377.direct.athenahealth.com

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.

• Carolina Pain Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Ladson, SC
  • NPI 1316283062
  Medicare reassignment Care Compare group NPD
• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Anesthesiology, SC

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Charleston, P.a.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1396776670
  Medicare reassignment NPD
• Bon Secours St Francis Xavier Hospital, Inc.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1740502822
  Medicare reassignment NPD
• Bon Secours St. Francis Xavier Hospital, Inc.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1871035956
  NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720

  Pain Medicine

  NPD
• Anesthesia Associates of Charleston, P.a.

  • Non-Pharmacy Dispensing Site
  • Mt Pleasant, SC
  • NPI 1629693668
  NPD (past)
• Carolinas Pain Institute, PA

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1942547120
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1992904528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 HIGHWAY 78 STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563909",
            "telephone_number": "502-855-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 HIGHWAY 78 STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563909",
            "telephone_number": "843-737-0437",
            "fax_number": "843-789-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JONATHAN",
        "middle_name": "PARKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "28124",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "28124",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "28124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281242",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Freer
• Alexis Fuchs, DC
• Frederick W. Funke Jr., MD
• Katalina Romero Funke, M.D.
• Abbey Garcia
• Chasity Marie Garrett, OTR/L
• Alisha N Gary, LMSW
• Shaniece L Gathers
• Madeline Georgeson
• Brooke Gerlach, OTR/L

• Interventional Pain Medicine Physician in Ladson, SC
• Providers in Ladson, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.