Individual provider Active NPI

Ashlie C Gavant, APRN

  • Family Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1851948459
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23125 Issued in SC
Practice address
3 Progressive St
Bluffton, SC 29910-5165
Phone
(843) 548-0533
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23125 SC Primary

Addresses

Primary practice location

3 Progressive St
Bluffton, SC 29910-5165

Mailing address

260 Coral Reef Way
Hardeeville, SC 29927-5068

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002252 SC Practitioner - Nurse Practitioner 7214269265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Candler Urgent Care Centers LLCGroup PAC ID 5092058016, 38 clinicians

Practice addresses (Care Compare)

3 Progressive St
Bluffton, SC 29910-5165
Phone (912) 819-2146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1851948459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CORAL REEF WAY",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299275068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROGRESSIVE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105165",
            "telephone_number": "843-548-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVANT",
        "first_name": "ASHLIE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Not in use at this location",
            "address_1": "20 Helton Dr Apt 3415",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292296961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.