Individual provider Active NPI

Gary Andrew Gould, PA

  • Medical Physician Assistant
  • Fairhope, AL
National Provider Identifier
1770090607
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1317 Issued in AL
Practice address
10040 County Road 48
Fairhope, AL 36532-4520
Phone
(251) 517-8055
NPI assigned
Dec 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X PA9112400 FL
Medical Physician Assistant 363AM0700X PA-1317 AL Primary

Addresses

Primary practice location

10040 County Road 48
Fairhope, AL 36532-4520

Mailing address

28490 2ND St Ste B
Daphne, AL 36526-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181001001008 AL Practitioner - Physician Assistant 5294086294 Reassigns benefits to 2 organizations
I20190913002696 FL Practitioner - Physician Assistant 5294086294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

10040 A County Rd
Suite 48
Fairhope, AL 36532-4520
Phone (251) 517-8055

5235 Rangeline Service Rd S
Mobile, AL 36619-9541
Phone (251) 544-6449

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

900 Montlimar Dr
Mobile, AL 36609-1705
Phone (251) 342-5263

Merit-based Incentive Payment System (MIPS)

Final score
71.83 of 100Reported as group
Quality
61.85
Improvement activities
40
Cost
76.05

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1317ALMDMedical Physician Assistant
PA9112400FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Jul 16, 2018 Accepting new patients
American Family Care, LLC CurrentSince Jul 16, 2018 Accepting new patients
Anesthesia Health Consultants CurrentSince Sep 1, 2019 Accepting new patients

Locations

28490 2nd St
Ste B
Daphne, AL 36526
Phone (251) 308-9800

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1770090607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28490 2ND ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 COUNTY ROAD 48",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324520",
            "telephone_number": "251-517-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "GARY",
        "middle_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-31",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112400",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.