DR. ALAN M GARDNER (M.D.) – Dermatology Physician, NPI 1215048673

DR. ALAN M GARDNER (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 027191 (GA). The NPI Number for DR. ALAN M GARDNER (M.D.) is 1215048673

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAN M GARDNER (M.D.)
NPI
1215048673
Phone
(770) 952-2100
Address
2550 WINDY HILL RD SE
Enumeration Date
31 August 2006
Last Update Date
28 August 2012

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8772313376
Graduation Year
1972 (54 years ago)
PAC ID
6002834322
Group Practice PAC ID
5799770624
Professional Enrollment ID
I20101119000256
Address ID
GA302405903LA1605XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for DR. ALAN M GARDNER (M.D.)

  • The Pavilion at Windy Hill, 2550, Windy Hill Road Southeast, Marietta, Cobb County, Georgia, 30067, United States

    SUITE 220

    MARIETTA, GA 300678665

    Phone: (770) 952-2100

    Fax: (770) 850-9712

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $3,584.

Total Amount is formed as General ($3,584) + Research ($0) + Ownership ($0) = $3,584.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($609).

Total Amount

$3,584

General + Research + Ownership

Payments

184

Total payment records

General Amount

$3,584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101119000256IDermatologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G6001Ultrasonic guidance for placement of radiation therapy fields1,71282$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area1,59977$0
77401Superficial and/or low voltage radiation treatment delivery1,56176$0
17003Destruction of precancer skin growth, 2-14 growths694125$0
99212Established patient office or other outpatient visit, 10-19 minutes349267$0
View full utilization report →

Insurance plans in this area (ZIP 30067)

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Provider's Procedures

DR. ALAN M GARDNER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA17003Destruction of 2-14 skin growths2552388
DERMATOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report4032

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799770624View full group profile
NameSpecialtyState
Nurse PractitionerFL
-GA
-GA
Nurse PractitionerFL
Nurse PractitionerGA
Physician AssistantFL
D E R M A T O L O G YFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Nurse PractitionerGA
D E R M A T O L O G YMA

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Frequently asked questions

How do payers reference DR. ALAN M GARDNER (M.D.)?
For DR. ALAN M GARDNER (M.D.), use NPI 1215048673 as the unique 10-digit identifier.
Is there an active status for DR. ALAN M GARDNER (M.D.)?
For scheduling context, DR. ALAN M GARDNER (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. ALAN M GARDNER (M.D.)?
At a glance, DR. ALAN M GARDNER (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ALAN M GARDNER (M.D.) located near Marietta?
DR. ALAN M GARDNER (M.D.) currently maps to Marietta, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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