AMIE MARIE GARDNER (APRN, FNP-BC) – Nurse Practitioner, NPI 1609275254

AMIE MARIE GARDNER (APRN, FNP-BC) is a healthcare provider. based in Saint marys, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 230753 (GA). The NPI Number for AMIE MARIE GARDNER (APRN, FNP-BC) is 1609275254

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMIE MARIE GARDNER (APRN, FNP-BC)
NPI
1609275254
Phone
(912) 534-3085
Address
202 LAKESHORE DR
Enumeration Date
20 August 2014
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125765999
Graduation Year
2018 (8 years ago)
PAC ID
5799021614
Group Practice PAC ID
0345463683
Professional Enrollment ID
I20190115001109
Address ID
GA315692091WO308XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMIE MARIE GARDNER (APRN, FNP-BC)

  • 202 LAKESHORE DR

    SAINT MARYS, GA 315583876

    Phone: (912) 534-3085

    Type: Location

  • 132 HIGHLAND OAKS CT S

    SAINT MARYS, GA 315582603

    Phone: (912) 409-3034

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Exact Sciences Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-15

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
I20190115001109INurse PractitionerGATBD

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 31558)

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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: 0345463683View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Nurse PractitionerGA
Physician AssistantKY
Family Practice, Obstetrics/GynecologyNY
Nurse PractitionerGA
Nurse PractitionerWA
Family PracticeGA
Physician AssistantGA

Reviews

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Frequently asked questions

Is there an official ID for AMIE MARIE GARDNER (APRN, FNP-BC) in U.S. healthcare records?
The official identifier for AMIE MARIE GARDNER (APRN, FNP-BC) is NPI 1609275254.
Active or inactive — what applies to AMIE MARIE GARDNER (APRN, FNP-BC)?
You should see AMIE MARIE GARDNER (APRN, FNP-BC) as active in CMS-hosted NPPES data.
What area of care is associated with AMIE MARIE GARDNER (APRN, FNP-BC)?
AMIE MARIE GARDNER (APRN, FNP-BC)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is AMIE MARIE GARDNER (APRN, FNP-BC) registered?
Use Saint Marys, Georgia as the headline location for AMIE MARIE GARDNER (APRN, FNP-BC) here.
Can I trust this NPI listing for AMIE MARIE GARDNER (APRN, FNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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