Gavin Casey Mayo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905668 Issued in MS

Practice address

200 Course Drive
Suite M
Carriere, MS 39426-9037

Phone

(769) 242-3185

Fax

(769) 242-0099

NPI assigned

Nov 10, 2022

Last updated

Jan 12, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS, LA2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
• Vitalcaring Group Home health agency, Gulfport, MS, CCN 257090
• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Highland Community Hospital Hospital, Picayune, MS, CCN 250117

Merit-based Incentive Payment System (MIPS)

Final score

69.56 of 100Reported as group

Quality

43.22

Promoting interoperability

88

Improvement activities

40

Cost

31.99

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  MS

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  dba Highland Community Hospital

  • General Acute Care Hospital
  • Picayune, MS
  • NPI 1053350462
  Care Compare affiliation
• Home Health Care Systems, Inc.

  dba Enhabit Home Health & Hospice

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• Kare-in-Home Health Services, Inc.

  dba VitalCaring Group

  • Home Health Agency
  • Gulfport, MS
  • NPI 1174527030
  Care Compare affiliation
• Picayune Homecare, LLC

  dba Mississippi HomeCare of Picayune

  • Home Health Agency
  • Picayune, MS
  • NPI 1548293582
  Care Compare affiliation

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1902514680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COURSE DRIVE",
            "address_2": "SUITE M",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269037",
            "telephone_number": "769-242-3185",
            "fax_number": "769-242-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "GAVIN",
        "middle_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lambert Dental PC (Lambert Dental PC Dr James Lambert)
• Remco Leidelmeijer
• Promise Lemoine
• Lighthouse Healthcare Nanci W Parish NP, LLC
• Melissa Loewen, MED, LAT, ATC
• Carmen Alvarez McLain, OTR
• Christina L Meador, FNP
• Milestone Therapy, LLC
• Mississippi State Department of Health
• Debbie L Moore, DC, LAC

• Family Nurse Practitioner in Carriere, MS
• Providers in Carriere, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.