DWAYNE THOMAS GARD MD NPI 1053440099

NPI Information

NPI: 1053440099
Provider Name: DWAYNE THOMAS GARD, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4700 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-2155
Get Directions

Dwayne Thomas Gard, MD is a hospitalist in Savannah, GA with 19 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Dwayne Thomas Gard, MD NPI is 1053440099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-2155
Fax: (912) 350-2156

The NPI 1053440099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	127604	NORTH CAROLINA	No
2	207R00000X	Internal Medicine	060731	GEORGIA	No
3	208M00000X	Hospitalist	060731	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G60731	MEDICAID	SOUTH CAROLINA
2	466640	OTHER	GEORGIA	WELLCARE
3	P00609441	OTHER	GEORGIA	RR MEDICARE
4	511I110419	MEDICARE PIN	GEORGIA
5	P00803304	OTHER	GEORGIA	RR MEDICARE
6	721978496A	MEDICAID	GEORGIA
7	01352254	OTHER		AMERIGROUP
8	721978496B	MEDICAID	GEORGIA
9	202I116870	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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