Individual provider Active NPI

Gavin Butler Pinkston, MD

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1013238856
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50275 Issued in TN
Practice address
1222 Trotwood Ave Ste 108
Columbia, TN 38401-6404
Phone
(931) 380-4066
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32845 SC
Family Medicine Physician 207Q00000X 50275 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 108
Columbia, TN 38401-6404

Mailing address

626 Blue Ridge Dr
Columbia, TN 38401-6111
Phone (931) 626-8245

Other practice location 1

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 380-4066

Other practice location 2

1609 Rosewood Dr
Columbia, TN 38401-6420
Phone (931) 388-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20131122000249 TN Practitioner - Family Practice 1254509250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32845SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jul 1, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jul 1, 2019 Accepting new patients
Maury Regional Hospital Marshall Medical Center Past Accepting new patients

Locations

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

1609 Rosewood Dr
Columbia, TN 38401
Phone (615) 472-1855

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Networks

  • KY PPO C-SNP
  • TN PPO C-SNP
  • MS PPO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO
  • AL HMO D-SNP
  • TN PPO
  • KY PPO
  • MS PPO C-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1013238856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BLUE RIDGE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016111",
            "telephone_number": "931-626-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016404",
            "telephone_number": "931-380-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 N Ellington Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370912227",
            "country_code": "US",
            "telephone_number": "931-380-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1609 Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384016420",
            "country_code": "US",
            "telephone_number": "931-388-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "GAVIN",
        "middle_name": "BUTLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.