COLLEEN GARDNER CNP NPI 1033274675

NPI Information

  • NPI: 1033274675
  • Provider Name: COLLEEN GARDNER, CNP
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 980 JOHNSON FERRY RD NE
    SUITE 620
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 255-2057

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NPI Details

Colleen Gardner, CNP is an obstetrics and gynecology nurse practitioner in Atlanta, GA. Colleen Gardner, CNP NPI is 1033274675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

980 JOHNSON FERRY RD NE
SUITE 620
ATLANTA, GA
ZIP 30342-626
Phone: (404) 255-2057
Fax: (404) 256-4238

The NPI 1033274675 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 12/26/2006 and was last updated on 2/18/2013.

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 Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & GynecologyRN082384GEORGIAYes

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
1594808436AMEDICAIDGEORGIA

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: 3/30/2025

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