Hailey Woollen Gavigan

MD | Pediatric Nephrology | Female

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Complete Profile:

Hailey Woollen Gavigan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Nephrology
Provider Name :	Hailey Woollen Gavigan
Credential :	MD
Gender :	Female

Business Address:

Hailey Woollen Gavigan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Po Box 19305 Charlotte, NC, 28219-9305 United States
Phone Number :

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1548671902
NPI Entity Type :	Individual
First Enrolment Date :	19 May, 2014
Last Updated On :	04 May, 2023

Medicare Participation:

Hailey Woollen Gavigan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820359128
Medicare Enrollment ID :	I20200811000987
Primary Specialty :	Nephrology
Medical School :	University Of South Carolina School Of Medicine
Graduation Year :
Accepts Medicare?	Yes. Hailey Woollen Gavigan accepts medicare insurance.

Group Practice Association:

Hailey Woollen Gavigan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Hailey Woollen Gavigan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Carolinas Medical Center	4789597477	728	1000 Blythe Blvd Charlotte, NC - 282035812	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hailey Woollen Gavigan are as mentioned. Primary taxonomy code for Hailey Woollen Gavigan, MD is 2080P0210X (Pediatrics, Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2020-02079	NC
2080P0210X	Pediatrics, Pediatric Nephrology	Yes	2020-02079	NC

Other Practice Locations:

Practice Address	City, State	Phone Number
4501 CAMERON VALLEY PKWY, STE 300 CHARLOTTE, NC, 28211-4297 United States	CHARLOTTE, NC	704-381-1410
1350 S KINGS DR, CHARLOTTE, NC, 28207-2134 United States	CHARLOTTE, NC	704-446-1422
1781 TATE BLVD SE, HICKORY, NC, 28602-4251 United States	HICKORY, NC	704-381-8840
100 MEDICAL PARK DR, STE 310 CONCORD, NC, 28025-2948 United States	CONCORD, NC	704-403-2660

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1001 Blythe Blvd, Medical Center Plaza Suite 200 Charlotte, NC, 28203-5866 United States
Phone Number :	704-381-8840

Business Location:

Patients can refer following map for directions to Hailey Woollen Gavigan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.