NPIMap

Individual provider Active NPI

John Robert Gavin Jr., M.D.

  • Orthopaedic Surgery Physician
  • Hilton Head, SC
National Provider Identifier
1336112416
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
SC26650 Issued in SC
Practice address
15 Moss Creek Village
Hilton Head, SC 29926-1105
Phone
(843) 681-5077
Fax
(843) 681-5012
NPI assigned
Feb 9, 2006
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X SC26650 SC Primary

Addresses

Primary practice location

15 Moss Creek Village
Hilton Head, SC 29926-1105

Mailing address

15 Moss Creek Village
Hilton Head, SC 29926-1105
Phone (843) 681-5077

Other practice location 1

149 Riverwalk Blvd
Ridgeland, SC 29936-8190
Phone (843) 681-5077

Other practice location 2

15 Moss Creek Vlg
Hilton Head, SC 29926-1105
Phone (843) 836-7022

Other identifiers 1

IdentifierTypeStateIssuer
266508MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000775 SC Practitioner - Orthopedic Surgery 3072572973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gavin OrthopaedicsGroup PAC ID 7810959780, 3 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

19 Moss Creek VLG
Suite D
Hilton Head, SC 29926-1127
Phone (843) 681-5077

876 Fording Island Rd
Suite 2
Bluffton, SC 29910-8677
Phone (843) 507-8473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC26650SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okatie Physical Therapy and Sports Medicine CurrentSince Aug 1, 2019 Accepting new patients
Gavin Orthopaedics Orthopaedic Surgery CurrentSince Sep 15, 2004 Accepting new patients
Gavin Orthopaedics Orthopaedic Surgery CurrentSince Sep 15, 2004 Accepting new patients
Professional Orthopaedic Associates LTD Orthopaedic Surgery Past Accepting new patients
Allied Services Institute of Rehabilitation Medicine Past Accepting new patients

Locations

15 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 681-5077

19 Moss Creek Vlg
Ste D
Hilton Head Island, SC 29926
Phone (843) 681-5077

Organizations & group practices 8

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.

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1336112416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VILLAGE",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-681-5077",
            "fax_number": "843-681-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VILLAGE",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-681-5077",
            "fax_number": "843-681-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Riverwalk Blvd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "SC",
            "postal_code": "299368190",
            "country_code": "US",
            "telephone_number": "843-681-5077",
            "fax_number": "843-681-5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Moss Creek Vlg",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299261105",
            "country_code": "US",
            "telephone_number": "843-836-7022",
            "fax_number": "843-836-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "SC26650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266508",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.