Henry Lawrence Gardiner Iii (NPI# 1346275658, PAC ID# 1658471115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346275658 |
| PAC ID by PECOS | 1658471115 |
| Professional Enrollment ID | I20110715000386 |
| Full Name | Henry Lawrence Gardiner Iii |
| Organization Legal Name | NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC |
| Address |
11459 Johns Creek Pkwy Suite 250 Johns Creek GA 30097-1519 |
| Phone Number | 7704971555 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406954296 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 | 7704971555 | NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Lillich Culpepper | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| Thomas M Mcginn | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| Paul D Ellis | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| Joy Ishii Zarandy | Family Practice | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Johns Creek, GA 30097-1519 |
| Street Address |
11459 JOHNS CREEK PKWY SUITE 250 |
| City | JOHNS CREEK |
| State | GA |
| Zip | 30097-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Z Alexander | Plastic and Reconstructive Surgery | Artisan Plastic Surgery, LLC | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3518 |
| Lisa Lillich Culpepper | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| M Farooq Ashraf | Ophthalmology | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3518 | |
| Bernadette Wang Ashraf | Plastic and Reconstructive Surgery | Artisan Plastic Surgery, LLC | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3518 |
| Thomas M Mcginn | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| Joseph Song | Urology | Georgia Urology, Pa | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3516 |
| Paul D Ellis | Family Medicine | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-1519 |
| Brent Alexander Sharpe | Urology | Georgia Urology, Pa | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3516 |
| Inessa Fishman | Plastic and Reconstructive Surgery | Artisan Plastic Surgery, LLC | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3518 |
| Joy Ishii Zarandy | Family Practice | North Chattahoochee Family Physicians, LLC | 11459 Johns Creek Pkwy, Johns Creek, GA 30097-1519 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean-gustave E Shoumou | Internal Medicine | Emory Medical Group, LLC | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 |
| Melissa H Alegre-guzman | Nurse Practitioner | Emory Medical Group, LLC | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 |
| Agnes E Kovacs | Family Medicine | Emory Medical Group, LLC | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 |
| Yvonne E Satterwhite | Orthopedic Surgery | Resurgens, PC | 6335 Hospital Pkwy, Suite 200, Johns Creek, GA 30097-1549 |
| Jun H Ro | Family Medicine | 6335 Hospital Pkwy, Suite 101, Johns Creek, GA 30097-1550 | |
| Sheila E Woodhouse | Cardiovascular Disease (cardiology) | Cardiovascular Clinic of North Georgia PC | 6335 Hospital Pkwy, Suite 208, Johns Creek, GA 30097-1551 |
| Patricia Yugueros | Plastic and Reconstructive Surgery | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1551 | |
| Sawyer Reed | Physician Assistant | Advanced Urology Institute of Georgia | 10730 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-1705 |
| Jason Lomboy | Urology | Advanced Urology Institute of Georgia | 10730 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-1705 |
| Elena Victoria Garifallou | Physician Assistant | Advanced Urology Institute of Georgia | 10730 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-1705 |
| Find all physicians in zip 30097 | |||
| City | JOHNS CREEK |
| Zip Code | 30097 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNS CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Henry Lawrence Gardiner Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.