Individual provider Active NPI

Charles V Gaston Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Mobile, AL
National Provider Identifier
1073990644
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD.48566 Issued in AL
Practice address
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone
(251) 433-1895
Fax
(251) 433-1917
NPI assigned
May 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME144525 FL
Vascular & Interventional Radiology Physician 2085R0204X MD.48566 AL Primary
Diagnostic Radiology Physician 2085R0202X ME144525 FL

Addresses

Primary practice location

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Other practice location 1

1151 Dauphin St
Mobile, AL 36604-2547
Phone (251) 433-1895

Other identifiers 4

IdentifierTypeStateIssuer
LJ1C2OtherFLBCBS
NW171OtherFLMEDICARE
1114401-00MedicaidFL
NW170OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, TN, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210524000111 FL Practitioner - Diagnostic Radiology 6002116035 Reassigns benefits to 3 organizations
I20220615001099 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002116035 Reassigns benefits to 1 organization
I20220726000678 TN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002116035 Reassigns benefits to 1 organization
I20240712001194 AL Practitioner - Interventional Radiology 6002116035 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians
Enterprise Urgent CareGroup PAC ID 1456647197, 35 clinicians
North Florida Outpatient Imaging Center LTDGroup PAC ID 5991786410, 25 clinicians

Practice addresses (Care Compare)

Mobile, AL 36695
Phone (469) 677-7430

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

6582 Boll Weevil Cir
Enterprise, AL 36330-9424
Phone (334) 347-2027

6605 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-4703

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144525FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coaxion PLLC Diagnostic Radiology CurrentSince Dec 28, 2025 Accepting new patients
Chilton Family Care, LLC CurrentSince Jan 20, 2026 Accepting new patients
Mountain Empire Radiology Inc PC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Physical Express CurrentSince Jan 20, 2026 Accepting new patients
Doctors Radiology Group of Gainesville LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
River Region Family Medicine, LLC CurrentSince Jan 20, 2026 Accepting new patients
Enterprise Urgent Care CurrentSince Jan 20, 2026 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jan 20, 2026 Accepting new patients
Urology Associates of Mobile, P.a. CurrentSince Dec 1, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jan 20, 2026 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Jan 20, 2026 Accepting new patients
Doctors Imaging Group LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Jan 20, 2026 Accepting new patients
North Florida Outpatient Imaging Center LTD CurrentSince Jul 1, 2021 Accepting new patients
Vascular Center of Mobile, P.C. PastSince Sep 1, 2011 Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

1151 Dauphin St
Mobile, AL 36604
Phone (251) 445-0075

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

6605 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-4676

3140 NW Medical Center Ln
Ste 100
Lake City, FL 32055
Phone (386) 752-4004

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1073990644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 DAUPHIN ST",
            "address_purpose": "LOCATION",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042547",
            "country_code": "US",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTON",
        "first_name": "CHARLES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME144525",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD.48566",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME144525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LJ1C2",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NW171",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114401-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NW170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.