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DOMINIQUE V GARDNER MD
NPI 1790476026
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 17, 2023PECOS Enrolled
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-6344 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique V Gardner Md NPPES

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

DOMINIQUE V GARDNER MD (NPI 1790476026) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790476026
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE V GARDNERCredential: MD
Location AddressUNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing AddressUniversity Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · (901) 448-6344
Phone(901) 448-6344
Sole ProprietorNo
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1790476026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique V 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.

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.

DR. MOHAMED KAMAL MAHMOUD ELNAEIM MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. VIRGINIA KATHERINE NISBET DO
Emergency Medicine
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6449
DR. AKINTAYO ADEDAPO AKINLEYE MD, MPH, CIC
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5759
MONISHA KRISHNA MURTHY MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-3714
SAMUEL HENRY SMITH M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5885
DR. DHAVAL S SHAH MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DR. REMA KANAKRIEH DO
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 396-6454
DANIEL SLABAUGH DO
Pediatrics
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814

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 Dominique Gardner's NPI number?

The NPI number for Dominique Gardner is 1790476026. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Dominique Gardner located?

Dominique Gardner practices at University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-6344.

What is Dominique Gardner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dominique Gardner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dominique Gardner was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.