Active NPI
Roy Curtis Gavin, CRNA
- Certified Registered Nurse Anesthetist
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R863777
- Practice address
- 2046 Beach Blvd Apt C113
Biloxi, MS 39531-5126 - Phone
- (318) 801-5526
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP04871 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN113738 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | R863777 | MS | Primary |
Addresses
Primary practice location
2046 Beach Blvd Apt C113
Biloxi, MS 39531-5126
Mailing address
2046 Beach Blvd Apt C113
Biloxi, MS 39531-5126
Phone (318) 801-5526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05789291 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-1000
Hospital & facility affiliations
- USA Health HCA Providence Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN113738 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Coastal Anesthesia Service PA | Current | Accepting new patients | |
| Etas, PLLC | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
3017 13th St
Gulfport, MS 39501
Phone (228) 831-0050
1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131
3882 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6290
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1255971016
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1679259360
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
MS, Nurse Anesthetist, Certified Registered
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1124070719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 BEACH BLVD APT C113",
"city": "BILOXI",
"state": "MS",
"postal_code": "395315126",
"telephone_number": "318-801-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 BEACH BLVD APT C113",
"city": "BILOXI",
"state": "MS",
"postal_code": "395315126",
"telephone_number": "318-801-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "ROY",
"middle_name": "CURTIS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP04871",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN113738",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R863777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05789291",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.