BRENDA FAYE GAVIN (APRN FNP-C AG-ACNP-C) – Gerontology Nurse Practitioner, NPI 1265812424
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for BRENDA FAYE GAVIN (APRN FNP-C AG-ACNP-C)
8725 County Road 64
Daphne, AL 365266061
Phone: (251) 625-1370
Fax: (251) 625-1380
Type: Location
5955 Airport Blvd
Mobile, AL 366083135
Phone: (251) 633-0573
Fax: (251) 633-7367
Type: Location
2001 Spring Hill Ave
Mobile, AL 366073326
Phone: (251) 433-3344
Fax: (251) 433-4052
Type: Location
PO BOX 7987
MOBILE, AL 366700987
Phone: (251) 633-0573
Type: Mailing
100 MEMORIAL HOSPITAL DR STE 1A
MOBILE, AL 366081128
Phone: (251) 343-6848
Fax: (251) 343-5708
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161202000495 | I | Nurse Practitioner | AL | TBD |
| I20230419000220 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36526)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| Emergency Medicine | FL | |
| Emergency Medicine | RI | |
| Emergency Medicine | GA | |
| - | FL | |
| Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL |
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