DR. LARISA P GAVRILOVA-JORDAN M.D.
NPI 1003895780
Obstetrics & Gynecology - Reproductive Endocrinology in Augusta, GA
About Dr. Larisa P Gavrilova-jordan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARISA P GAVRILOVA-JORDAN M.D. (NPI 1003895780) is an individual reproductive endocrinology provider in Augusta, Georgia, licensed in Georgia (70748) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Larisa P Gavrilova-jordan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Larisa Gavrilova-jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Au Medical Center
Acute Care Hospitals · Augusta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Larisa Gavrilova-jordan's NPI number?
The NPI number for Larisa Gavrilova-jordan is 1003895780. It was assigned to this individual provider in the NPPES registry on January 11, 2006.
Where is Larisa Gavrilova-jordan located?
Larisa Gavrilova-jordan practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 724-6100.
What is Larisa Gavrilova-jordan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.
Is Larisa Gavrilova-jordan enrolled in Medicare?
Yes. Larisa Gavrilova-jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Larisa Gavrilova-jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Gavrilova-jordan reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larisa Gavrilova-jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larisa Gavrilova-jordan accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Larisa Gavrilova-jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Larisa Gavrilova-jordan affiliated with any hospitals?
According to CMS data, Larisa Gavrilova-jordan is affiliated with Au Medical Center.
When was this NPI record last updated?
The NPPES record for Larisa Gavrilova-jordan was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Larisa P Gavrilova-Jordan, M.D. · NPI 1003895780
Reproductive Endocrinology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1003895780 (Entity type: Individual)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Obstetrics & Gynecology - Reproductive Endocrinology · taxonomy 207VE0102X
- **State license:** 70748 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 724-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Au Medical Associates Inc (NPI 1841230620, Augusta, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** June 24, 2019
- **Other identifiers:** Medicaid 891448600 (MN); Medicaid 5909224 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003895780) · Data from the CMS NPPES public registry.