Active NPI
Gavin Kindall, MD
- Internal Medicine Physician
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48325
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 279-1529
- NPI assigned
- May 19, 2021
- Last updated
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48325 | AL | Primary |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 279-1529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Hospitalists LLC | Current | Accepting new patients | |
| Mobile Infirmary Association | Past | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
Interoperability endpoints
- gkindall97625@directinfirmaryhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Mobile, AL
- NPI 1669824934
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba SouthernCare Greenville
- Community Based Hospice Care Agency
- Greenville, AL
- NPI 1639112410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1316511660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-279-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-279-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDALL",
"first_name": "GAVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "48325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.