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

Timothy Lee Gardner, MD

Individual provider Dermatology Physician · NPI 1861482465

Timothy Lee Gardner, MD is a Dermatology in Johnson City, Tennessee. Graduated from University of Virginia School of Medicine in 1993, 33 years ago. Practices with Integrated Dermatology of Gloucester, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
33
Trained at
University of Virginia School of Medicine
Licensed in
TN
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1009 N State Of Franklin Access Rd
Johnson City, TN 37604-3693
Phone: (423) 929-7546
Fax: (423) 929-7968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 38003 (TN)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 38003 (TN)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 38003 (TN)

Record details

NPI number1861482465
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESJune 1, 2009
Mailing address1009 N State Of Franklin Access Rd, Johnson City, TN 37604-3693

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Integrated Dermatology Of Gloucester, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City