P Praxis·MD
● Active Type 1 · Individual

Jeffrey Thomas Gardner II

Dermatology·Snellville, GA· NPI 1366901324 · Enumerated 2019 · 7 years on NPI
Gardner is 1 of 11 dermatology providers in Snellville and 1 of 483 in Georgia.
NPI age
7 years
Enumerated 2019-03-18
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
2383 Pate St N
Snellville, GA 300783250
📞 7709724845fax 7709720358
Mailing address
2383 Pate St N
Snellville, GA 300783250
📞 7709724845fax 7709720358

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
1250 E 66th St
Savannah, GA 314045704
📞 8006372378
Location 3
55 Fruit St
Boston, MA 02114
📞 6177262000
Location 4
55 Fruit St
Boston, MA 02114
📞 6177262000
Location 5
11234 Anderson St # C
Loma Linda, CA 923542804
📞 9095582890

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #101335CA license #4306 taxonomy 207N00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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