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MR. JOHN HARVEY GARDNER MD
NPI 1669445276
Dermatology - MOHS-Micrographic Surgery in Memphis, TN

Active since February 13, 2006PECOS Enrolled
1455 UNION AVE, MEMPHIS, TN 38104(901) 726-6655(901) 726-9056 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John Harvey Gardner Md NPPES

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

MR. JOHN HARVEY GARDNER MD (NPI 1669445276) is an individual mohs-micrographic surgery provider in Memphis, Tennessee, licensed in Tennessee (MD6965) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669445276
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameMR. JOHN HARVEY GARDNERCredential: MD
Location Address1455 UNION AVEMemphis, TN 38104-6727
Mailing Address1455 Union AveMemphis, TN 38104-6727 · (901) 726-6655 · Fax (901) 726-9056
Phone(901) 726-6655
Fax(901) 726-9056
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateApril 22, 2009
✔ NPI 1669445276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TN · MD6965
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MD6965 (TN)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD6965 (TN)
1455 UNION AVE, Memphis, TN 38104
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Other Identifiers 3

Medicare UPINB03447
Medicare ID-Type Unspecified3171119
Medicaid3171118TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Harvey Gardner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. EMILY T. OVERHOLSER M.D.
Dermatology
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
DR. COURTNEY STROUPE WOODMANSEE MD
Dermatology (MOHS-Micrographic Surgery)
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
LESLIE ELAINE GRAHAM DNP, AGNP-C
Nurse Practitioner
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
MS. AMY A HUBER MD
Dermatology (MOHS-Micrographic Surgery)
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
MR. REX ALLEN AMONETTE MD
Dermatology (Dermatopathology)
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
MRS. MARY ELIZABETH STEPHENS NP-C
Nurse Practitioner (Family)
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
MEMPHIS DERMATOLOGY CLINIC PA
Dermatology
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655
MR. FRANK GLOVER WITHERSPOON JR. MD
Dermatology (Dermatopathology)
1455 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6655

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 John Gardner's NPI number?

The NPI number for John Gardner is 1669445276. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is John Gardner located?

John Gardner practices at 1455 Union Ave, Memphis, TN 38104. The listed phone number is (901) 726-6655.

What is John Gardner's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is John Gardner enrolled in Medicare?

Yes. John Gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Gardner was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.