DR. HENRY LAWRENCE III GARDINER (MD) – Family Medicine Physician, NPI 1346275658

DR. HENRY LAWRENCE III GARDINER (MD) is a healthcare provider. based in Johns creek, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 039346 (GA). The NPI Number for DR. HENRY LAWRENCE III GARDINER (MD) is 1346275658

Main info

Male
45 Years Of Experience
Name
DR. HENRY LAWRENCE III GARDINER (MD)
NPI
1346275658
Phone
(770) 497-1555
Address
11459 JOHNS CREEK PKWY
Enumeration Date
12 July 2006
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704971555
Graduation Year
1981 (45 years ago)
PAC ID
1658471115
Group Practice PAC ID
6406954296
Professional Enrollment ID
I20110715000386
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. HENRY LAWRENCE III GARDINER (MD)

  • 11459, Johns Creek Parkway, Johns Creek, Fulton County, Georgia, 30097, United States

    SUITE 250

    JOHNS CREEK, GA 300973515

    Phone: (770) 497-1555

    Fax: (770) 497-9998

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-07-15

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
I20110715000386IFamily PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30097)

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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: 6406954296View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeGA
-GA
Family PracticeGA

Reviews

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Frequently asked questions

What NPI should I save for DR. HENRY LAWRENCE III GARDINER (MD)?
Save NPI 1346275658 if you need a stable reference for DR. HENRY LAWRENCE III GARDINER (MD).
Is DR. HENRY LAWRENCE III GARDINER (MD) active in the national directory?
DR. HENRY LAWRENCE III GARDINER (MD)'s public NPI profile is in an active state.
What kind of provider is DR. HENRY LAWRENCE III GARDINER (MD)?
The page reflects Family Medicine Physician for DR. HENRY LAWRENCE III GARDINER (MD). Clinical services aligned with this taxonomy classification.
Does DR. HENRY LAWRENCE III GARDINER (MD) practice in Georgia?
You will see Johns Creek, Georgia on file for DR. HENRY LAWRENCE III GARDINER (MD) alongside any extra practice locations.
Is DR. HENRY LAWRENCE III GARDINER (MD) a real provider?
This page reflects official NPPES data for NPI 1346275658. Always confirm identity and privileges with the practice and licensing boards.

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