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GAVIN HUSTED DO
NPI 1043061898
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since March 29, 2024PECOS Enrolled
1924 ALCOA HWY # U-109, KNOXVILLE, TN 37920(865) 305-9220(865) 305-9216 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gavin Husted Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN HUSTED DO (NPI 1043061898) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043061898
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAVIN HUSTEDCredential: DO
Location Address1924 ALCOA HWY # U-109Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-109Knoxville, TN 37920-1511 · (865) 305-9220 · Fax (865) 305-9216
Phone(865) 305-9220
Fax(865) 305-9216
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1043061898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1924 ALCOA HWY # U-109, Knoxville, TN 37920
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Husted Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

FARAZ AHMED TARIQ DDS
Dentist
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9191
MADELINE LOCK
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
DR. STEPHEN WILLIAM MORVANT II MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
DR. TARA KEIL MD
Anesthesiology
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
JEAN THOMPSON BUTLER MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
SAVANNAH ROBERTS
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
LOGAN EVANS MD, MBA
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220
DR. JOHN DALTON MADIGAN MD
Anesthesiology
1924 ALCOA HWY # U-109
KNOXVILLE, TN 37920
Knox County (865) 305-9220

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 Gavin Husted's NPI number?

The NPI number for Gavin Husted is 1043061898. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Gavin Husted located?

Gavin Husted practices at 1924 Alcoa Hwy # U-109, Knoxville, TN 37920. The listed phone number is (865) 305-9220.

What is Gavin Husted's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gavin Husted enrolled in Medicare?

Yes. Gavin Husted is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Husted was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.