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HAILEY WOOLLEN GAVIGAN MD NPI 1548671902


NPI Information

NPI: 1548671902
Provider Name: HAILEY WOOLLEN GAVIGAN, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC
ZIP 28203
Phone: (704) 381-8840
Get Directions

Hailey Woollen Gavigan, MD is a pediatric nephrology pediatrics in Charlotte, NC. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Hailey Woollen Gavigan, MD NPI is 1548671902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 381-8840

The NPI 1548671902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 12/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0201XPediatricsPediatric Allergy/Immunology2020-02079NORTH CAROLINANo
22080P0210XPediatricsPediatric Nephrology2020-02079NORTH CAROLINAYes
3208000000XPediatrics2020-02079NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.