This paper studies conditional independence testing under the Gaussian additive noise model (GANM), where two variables are modeled as nonlinear functions of covariates with independent bivariate Gaussian regression errors. Under this framework, conditional independence can be characterized by the correlation coefficient of the regression errors, which motivates a test based on the Pearson correlation coefficient computed from the fitted residuals. Despite its simple form, the asymptotic behavior and statistical efficiency of the resulting test have not been well understood. In this paper, we develop the semiparametric efficiency theory under GANM and show, surprisingly, that the efficient estimator coincides exactly with the ordinary residual Pearson correlation estimator. We further establish the asymptotic properties of the proposed test and develop the corresponding inference procedure. Simulation studies demonstrate that the proposed method achieves near-oracle efficiency and competitive empirical power while maintaining valid Type I error control. We further apply the proposed test to conditional dependence analysis of U.S. stock returns.