ASHLEY GILVYDIS (MD) – Emergency Medicine Physician, NPI 1477127736

ASHLEY GILVYDIS (MD) is a healthcare provider. based in Jackson, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4351048106 (MI). The NPI Number for ASHLEY GILVYDIS (MD) is 1477127736

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY GILVYDIS (MD)
NPI
1477127736
Phone
(517) 205-3994
Address
205 N EAST AVE
Enumeration Date
19 May 2021
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172795400
Graduation Year
2020 (6 years ago)
PAC ID
5496151045
Group Practice PAC ID
3870493588
Professional Enrollment ID
I20250505000588
Address ID
MI490362041CO274XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for ASHLEY GILVYDIS (MD)

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (517) 205-3994

    Fax: (517) 205-7050

    Mailing address matches the actual address.

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: 2025-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250505000588IEmergency MedicineMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870493588View full group profile
NameSpecialtyState
Emergency MedicineMI
-PA
Physician AssistantMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
-MI
Emergency MedicineMI
Emergency MedicineMI
-PA

Reviews

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Frequently asked questions

Does ASHLEY GILVYDIS (MD) have a public NPI I can cite?
Public records show ASHLEY GILVYDIS (MD) under NPI 1477127736.
Does the public listing show ASHLEY GILVYDIS (MD) as active?
ASHLEY GILVYDIS (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits ASHLEY GILVYDIS (MD)?
NPPES ties ASHLEY GILVYDIS (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ASHLEY GILVYDIS (MD) tied to Jackson, Michigan?
If you are local to Jackson, Michigan, ASHLEY GILVYDIS (MD) may be relevant to your search.
Who maintains ASHLEY GILVYDIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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