Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Scott Gardner, DO

Individual provider Family Medicine Physician · NPI 1578590550

Michael Scott Gardner, DO is a Family Practice in Maryville, Tennessee. Qualified in 2002, 24 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

603 Smithview Dr
Maryville, TN 37803-6100
Phone: (865) 983-0082
Fax: (865) 977-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1652 (TN)

Record details

NPI number1578590550
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing address1275 Dick Lonas Rd, Knoxville, TN 37909-1382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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