Active NPI
Avit John Gremillion III, MD
- Ophthalmology Physician
- Biloxi, MS
National Provider Identifier
1861479529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 17239
- Practice address
- 962 Tommy Munro Dr Ste E
Biloxi, MS 39532-2139 - Phone
- (228) 388-7000
- Fax
- (833) 849-9899
- NPI assigned
- Dec 23, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 023984 | LA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 023984 | LA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 17239 | MS | |
| Ophthalmology Physician | 207W00000X | 17239 | MS | Primary |
Addresses
Primary practice location
962 Tommy Munro Dr Ste E
Biloxi, MS 39532-2139
Mailing address
962 Tommy Munro Dr Ste E
Biloxi, MS 39532-2139
Phone (228) 388-7000
Other practice location 1
67186 Industry Ln Ste A
Covington, LA 70433-8708
Phone (985) 867-9100
Other practice location 2
2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 473-0010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1486787 | Medicaid | LA | |
| 180000355 | Other | MS | MEDICARE RAILROAD |
| 05109745 | Medicaid | MS | |
| 7812033 | Other | MS | AETNA |
| 05109145 | Medicaid | MS |
Other names 1
- Frere Gremillion
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in Shreveport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
67186 Industry LN
Suite a
Covington, LA 70433-8708
Phone (985) 867-9100
962 Tommy Munro Dr
Suite B
Biloxi, MS 39532-2139
Phone (228) 388-7000
Hospital & facility affiliations
- Memorial Hospital Biloxi
- Memorial Hospital at Gulfport
- Singing River Gulfport
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023984 | LA | MD | Pharmacist |
| 17239 | MS | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal Eye Center, PC | Single Specialty | Current | Accepting new patients |
| Retina & Vitreous of Louisiana, Inc. | Single Specialty | Past | Accepting new patients |
Locations
67186 Industry Ln
Ste A
Covington, LA 70433
Phone (985) 867-9100
967 Cedar Lake Rd
#A
Biloxi, MS 39532
Phone (228) 205-6830
962 Tommy Munro Dr
Ste B
Biloxi, MS 39532
Phone (228) 388-7000
962 Tommy Munro Dr
Ste E
Biloxi, MS 39532
Phone (228) 388-3978
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Biloxi, MS
- NPI 1477603074
LA, Single Specialty
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1285857607
Single Specialty
Hospital & facility affiliations 61
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1861479529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 TOMMY MUNRO DR STE E",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322139",
"telephone_number": "228-388-7000",
"fax_number": "833-849-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 TOMMY MUNRO DR STE E",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322139",
"telephone_number": "228-388-7000",
"fax_number": "833-849-9899"
}
],
"practiceLocations": [
{
"address_1": "67186 Industry Ln Ste A",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704338708",
"country_code": "US",
"telephone_number": "985-867-9100",
"fax_number": "833-849-9899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2495 Shreveport Hwy",
"address_purpose": "LOCATION",
"city": "Pineville",
"state": "LA",
"postal_code": "713604044",
"country_code": "US",
"telephone_number": "318-473-0010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREMILLION",
"first_name": "AVIT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "023984",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "LA",
"license": "023984",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": "MS",
"license": "17239",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "17239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1486787",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180000355",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05109745",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7812033",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05109145",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRERE",
"last_name": "GREMILLION",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.