Carol A Gardner (NPI# 1316930324, PAC ID# 4486693603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316930324 |
| PAC ID by PECOS | 4486693603 |
| Professional Enrollment ID | I20050427000960 |
| Full Name | Carol A Gardner |
| Organization Legal Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Address |
2367 Cypress Cir B Conway SC 29526-8921 |
| Phone Number | 8433491001 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830087774 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420049 | CONWAY MEDICAL CENTER |
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2367 Cypress Cir B, Conway, SC 29526-8921 | 8433491001 | CONWAY HOSPITAL COMMUNITY SERVICES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 52% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% |
| Organization Legal Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Ann Fowler | Certified Nurse Midwife (cnm) | Conway Hospital Community Services | 2367 Cypress Cir, Suite 200, Conway, SC 29526-8921 |
| Yolanda Lang | Nurse Practitioner | Conway Hospital Community Services | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 |
| Praveen Kumar Vemuri | Neurology | Conway Hospital Community Services | 124 Professional Park Dr, Conway, SC 29526-9260 |
| Shannon Michelle Spence | Nurse Practitioner | Conway Hospital Community Services | 4022 Postal Way, Myrtle Beach, SC 29579-3537 |
| Kimberly D Hunsucker | Nurse Practitioner | Conway Hospital Community Services | 1301 Creel St, Conway, SC 29527-5018 |
| Carol S Eaton | Physician Assistant | Conway Hospital Community Services | 903 Bell St, Conway, SC 29526-4113 |
| Rachel Collins | Nurse Practitioner | Conway Hospital Community Services | 2367 Cypress Cir B, Conway, SC 29526-8921 |
| Stephanie H Crawford | Nurse Practitioner | Conway Hospital Community Services | 1213 Elm St, Aynor, SC 29511-3320 |
| Kimberly D Spivey | Nurse Practitioner | Conway Hospital Community Services | 51 11th Ave, Aynor, SC 29511-3249 |
| Charles Winfield Johnson Jr. | Internal Medicine | Conway Hospital Community Services | 8002 Myrtle Trace Dr, Conway, SC 29526-8945 |
| Street Address |
2367 CYPRESS CIR B |
| City | CONWAY |
| State | SC |
| Zip | 29526-8921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Collins | Nurse Practitioner | Conway Hospital Community Services | 2367 Cypress Cir B, Conway, SC 29526-8921 |
| Justin S Pandoo | Internal Medicine | Conway Hospital Community Services | 2367 Cypress Cir B, Conway, SC 29526-8921 |
| Paul Mckinley Richardson Jr. | Internal Medicine | Conway Hospital Community Services | 2367 Cypress Cir B, Conway, SC 29526-8921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol A Gardner.
| 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.