Active NPI
Gavyn Prat
- Student in an Organized Health Care Education/Training Program
- Jacksonville, AL
National Provider Identifier
1730094996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 700 Pelham Rd N
Jacksonville, AL 36265-1602 - Phone
- (256) 782-5515
- NPI assigned
- Aug 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
700 Pelham Rd N
Jacksonville, AL 36265-1602
Mailing address
337 McCowan Rd
Rockmart, GA 30153-4007
Phone (470) 865-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1730094996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 MCCOWAN RD",
"city": "ROCKMART",
"state": "GA",
"postal_code": "301534007",
"telephone_number": "470-865-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PELHAM RD N",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362651602",
"telephone_number": "256-782-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAT",
"first_name": "GAVYN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AL
- Physician Services of Alabama LLC
- Physicians Choice Dialysis of Jacksonville, LLC
- Adam Pike, PHARM.D
- Michael Garrett Polascik, ATC
- Maranda L Posey, FNP-BC
- Premier Hearing
- Premier Hearing of Jacksonville
- Rodney Prickett
- QHG of Jacksonville Inc (Jacksonville Medical Center)
- Rai Care Centers of Alabama, LLC (Rai- Henry Rd - Jacksonville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.