Individual provider Active NPI

Austin Ryan Gauldin, DO

  • Family Medicine Physician
  • Columbiana, AL
National Provider Identifier
1174103303
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.3817 Issued in AL
Practice address
247 Walton St
Columbiana, AL 35051-9701
Phone
(205) 749-8920
Fax
(205) 670-9709
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.3817 AL Primary

Addresses

Primary practice location

247 Walton St
Columbiana, AL 35051-9701

Mailing address

3500 Blue Lake Dr Ste 495
Vestavia, AL 35243-1975
Phone (205) 749-8920

Other practice location 1

13521 Old Highway 280 Ste 225
Birmingham, AL 35242-1407
Phone (205) 408-4349

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241203001513 AL Practitioner - Family Practice 4183027352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

247 Walton St
Columbiana, AL 35051-9701
Phone (205) 670-9690

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Sylacauga, AL, CCN 017152
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Aug 26, 2024 Accepting new patients
BW Orthopedic & Sports Medicine Practice LLC Past Accepting new patients

Locations

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

247 Walton St
Columbiana, AL 35051
Phone (205) 669-9655

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: austin.gauldin.1@9954.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1174103303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BLUE LAKE DR STE 495",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431975",
            "telephone_number": "205-749-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 WALTON ST",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350519701",
            "telephone_number": "205-749-8920",
            "fax_number": "205-670-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13521 Old Highway 280 Ste 225",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352421407",
            "country_code": "US",
            "telephone_number": "205-408-4349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULDIN",
        "first_name": "AUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.3817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, AL

Sources for this page

Verify at the official NPI Registry.