Thomas J Gavigan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

26926 Issued in NC

Practice address

15830 John J Delaney Dr
Suite 175
Charlotte, NC 28277-3294

Phone

(704) 377-4009

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Charlotte Gastroenterology & Hepatology, PLLC

  • Gastroenterology Physician
  • Huntersville, NC
  • NPI 1730100801
  Medicare reassignment NPD
• Charlotte Gastroenterology & Hepatology, PLLC

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1851548655
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1760430607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280700497",
            "telephone_number": "704-377-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 JOHN J DELANEY DR",
            "address_2": "SUITE 175",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773294",
            "telephone_number": "704-377-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIGAN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "26926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7934986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Gault, D.P.T.
• Nichole Potts Gause, LCSW
• Bikki Gautam, M.D
• Emma Cole Gavidia, RN
• Hailey Woollen Gavigan, MD
• Thomas Sanderson Gavigan, MD
• Chandler Elizabeth Gavin, PA-C
• Irian Gisselle Gavin, PA
• Anthony J Gawlik, LMBT
• Adrienne Nicole Gay, MS, CCC-SLP

• Gastroenterology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.