Joy Gavino

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25405 Issued in AL

Practice address

214 Rome Ave
Piedmont, AL 36272-1920

Phone

(256) 447-6262

Fax

(256) 447-6211

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Internal Medicine

  • Internal Medicine Physician
  • Jacksonville, AL
  • NPI 1811066103
  Medicare reassignment NPD
• Jacksonville Internal Medicine

  • Internal Medicine Physician
  • Gadsden, AL
  • NPI 1013093152
  NPD
• QHG of Jacksonville Inc

  • Anesthesiology Physician
  • Jacksonville, AL
  • NPI 1457458820

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1003992157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362650550",
            "telephone_number": "256-447-6262",
            "fax_number": "256-447-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ROME AVE",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362721920",
            "telephone_number": "256-447-6262",
            "fax_number": "256-447-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINO",
        "first_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "25405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051525461",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00190295",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200146315",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanquavious Ella Nichole Brewer
• April Cobb, CRNP
• Elite Therapy Services
• Eye Care Alabama Inc
• Floyd Cherokee Medical Center LLC
• Connie Leigh Geimer, ACNP
• Jacob Goss
• Whitney Grimes
• Guidance in Home Care LLC
• Guidance in Home Care LLC

• Internal Medicine Physician in Piedmont, AL
• Providers in Piedmont, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.