Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOLLY JOY GARDNER FNP
NPI 1174877112
Nurse Practitioner - Family in Charleston, SC

Q: What is Holly Gardner's NPI number?

The NPI number for Holly Gardner is 1174877112. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Q: What is Holly Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Gardner was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2012PECOS Enrolled

73.84/100

CMS Quality Rating

96 JONATHAN LUCAS ST, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Holly Joy Gardner Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY JOY GARDNER FNP (NPI 1174877112) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (17969) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174877112

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHOLLY JOY GARDNERCredential: FNP

Location Address96 JONATHAN LUCAS STCharleston, SC 29425-8900

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 30, 2012

Last NPPES UpdateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1174877112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 17969

96 JONATHAN LUCAS ST, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Joy Gardner Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103064944

PECOS Enrollment IDI20130606000024

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.28

Promoting Interoperability

Improvement Activities

Cost

53.36

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER MARIE SMITH PA-C

Physician Assistant

96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

Charleston County (404) 277-6303

MUSC HOSPITAL

General Acute Care Hospital

96 JONATHAN LUCAS ST, SUITE 409
CHARLESTON, SC 29425

Charleston County (843) 792-5897

MS. JOANNA JOY WARD PA-C

Physician Assistant (Medical)

96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

Charleston County (843) 792-2300

MAYA HADAS WAHL PA-C

Physician Assistant

96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

Charleston County (843) 792-2867

DERLIS CHRISTIAN FLEITAS SOSA MD

Internal Medicine (Pulmonary Disease)

96 JONATHAN LUCAS ST, STE 816 CSB MSC 630
CHARLESTON, SC 29425

Charleston County (943) 792-3167

ANGELA JESSUP SHEALY PA-C

Physician Assistant

96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

Charleston County (843) 792-1414

DR. FAYE N HANT D.O.

Internal Medicine (Rheumatology)

96 JONATHAN LUCAS ST, SUITE 912 CSB
CHARLESTON, SC 29425

Charleston County (843) 792-3484

MONTHER SAUD AMER ALTITI MD

Surgery

96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

Charleston County (843) 792-3553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Gardner's NPI number?

The NPI number for Holly Gardner is 1174877112. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Holly Gardner located?

Holly Gardner practices at 96 Jonathan Lucas St, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Holly Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Gardner enrolled in Medicare?

Yes. Holly Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Gardner accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Holly Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Holly Gardner affiliated with any hospitals?

According to CMS data, Holly Gardner is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Beaufort County Memorial Hospital, Tidelands Waccamaw Community Hospital and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Holly Gardner was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.