Organization Active NPI

D Ray Gaskin Jr MD LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Savannah, GA
National Provider Identifier
1366881641
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
028117 Issued in GA
Legal business name
D RAY GASKIN JR MD LLC
Practice address
315 Commercial Dr Ste B3
Savannah, GA 31406-3631
Phone
(912) 352-9902
Fax
(912) 352-9960
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Daniel Ray Gaskin Jr., M.D.
Title
Owner
Phone
(912) 352-9902

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC002856 GA
Specialist 174400000X 022469 GA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 028117 GA Primary

Addresses

Primary practice location

315 Commercial Dr Ste B3
Savannah, GA 31406-3631

Mailing address

315 Commercial Dr Ste B3
Savannah, GA 31406-3631
Phone (912) 352-9902

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2033806D Ray Gaskin, Jr, MD, LLC315 Commercial Drive, Suite B-3, Savannah, GA 31406Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
D Ray Gaskin Jr MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 Commercial Dr
Ste B3
Savannah, GA 31406
Phone (912) 352-9902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1366881641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR STE B3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063631",
            "telephone_number": "912-352-9902",
            "fax_number": "912-352-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR STE B3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063631",
            "telephone_number": "912-352-9902",
            "fax_number": "912-352-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D RAY GASKIN JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-352-9902",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC002856",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "022469",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "GA",
            "license": "028117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.