P Praxis·MD
● Active Type 1 · Individual

DR. Scott Donald Gardner, M.D.

Ophthalmology·Fayetteville, GA· NPI 1457613655 · Enumerated 2012 · 13 years on NPI
Gardner is 1 of 5 ophthalmology providers in Fayetteville and 1 of 807 in Georgia.
NPI age
13 years
Enumerated 2012-06-13
Primary specialty
Ophthalmology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 807 active ophthalmology providers in Georgia.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
340 Brandywine Blvd
Fayetteville, GA 302141562
📞 7707197950fax 7704601739
Mailing address
340 Brandywine Blvd
Fayetteville, GA 302141562
📞 7707197950fax 7704601739

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    GA license #075189 taxonomy 207W00000X

Identifiers

TypeValueNotes
01 (GA) 202I183334 MEDICARE PTAN
05 (GA) 003175035A

Practice context

Part of a multi-provider practice. 3 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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