NPIMap

Individual provider Active NPI

Van Alan Gauby, MD

  • Family Medicine Physician
  • Hilton Head, SC
National Provider Identifier
1811945355
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD22856 Issued in SC
Practice address
93 N Main St
Hilton Head, SC 29926-6613
Phone
(843) 681-3777
Fax
(843) 681-9996
NPI assigned
May 5, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22856 SC Primary
Emergency Medicine Physician 207P00000X T6915 SC

Addresses

Primary practice location

93 N Main St
Hilton Head, SC 29926-6613

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other practice location 1

25 Hospital Center Blvd
Hilton Head, SC 29926-2738
Phone (843) 689-8281

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
I20040521000553 SC Practitioner - Family PracticePractitioner - Emergency Medicine 7719871110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Medical PCGroup PAC ID 8325952963, 2 clinicians

Practice addresses (Care Compare)

93 N Main St
Hilton Head, SC 29926-6613
Phone (843) 681-3777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T6915SCMDEmergency Medicine Physician
MD22856SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Jan 1, 2004 Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2004 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Main Street Medical PC CurrentSince Aug 27, 2019 Accepting new patients
Fayette County Memorial Hospital Family Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Upper Valley Medical Center Past Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Ingenuity Medical Group LLC Emergency Medicine Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4750 Hempstead Station Dr
Kettering, OH 45429

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

93 Main St
Hilton Head Island, SC 29926
Phone (843) 681-3777

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFHBD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1811945355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 N MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299266613",
            "telephone_number": "843-681-3777",
            "fax_number": "843-681-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299262738",
            "country_code": "US",
            "telephone_number": "843-689-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUBY",
        "first_name": "VAN",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD22856",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "T6915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.