Ashley Lynn Gavin, REGISTERED NURSE

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN241838 Issued in GA

Practice address

145 Bayberry Run
Fayetteville, GA 30214-2671

Phone

(678) 829-3274

NPI assigned

Sep 20, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• L & a Staffing Agency, L.L.C.

  • Home Health Agency
  • Fayetteville, GA
  • NPI 1265214548
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1073391900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BAYBERRY RUN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142671",
            "telephone_number": "678-829-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BAYBERRY RUN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142671",
            "telephone_number": "678-829-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN241838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Matthews Gary
• Quantiyanna Gaskins
• Jackline Wanga Gates
• David Durand Gaucher, D.C.
• Nigel Gauntlett
• Gclab LLC
• Mergen Geldiyev, SA-C
• Natalie Generally, LPMT, MT-BC, M.M.ED
• Genesis Eldercare Rehabilitation Services Inc
• Gentle Care Behavioral Health PLLC

• Medical-Surgical Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Medical-Surgical Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.