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DR. AUSTIN RYAN GAULDIN DO
NPI 1174103303
Family Medicine in Columbiana, AL

Active since April 12, 2021PECOS Enrolled
247 WALTON ST, COLUMBIANA, AL 35051(205) 749-8920(205) 670-9709 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Sep 5, 2024, Apr 12, 2021 (3 updates tracked since 2021).

About Dr. Austin Ryan Gauldin Do NPPES

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

DR. AUSTIN RYAN GAULDIN DO (NPI 1174103303) is an individual family medicine provider in Columbiana, Alabama, licensed in Alabama (DO.3817) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174103303
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AUSTIN RYAN GAULDINCredential: DO
Location Address247 WALTON STColumbiana, AL 35051-9701
Mailing Address3500 Blue Lake Dr Ste 495Vestavia, AL 35243-1975 · (205) 749-8920
Phone(205) 749-8920
Fax(205) 670-9709
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1174103303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · DO.3817
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
247 WALTON ST, Columbiana, AL 35051
Open in Google Maps ↗

Secondary Practice Location 1

Location 113521 Old Highway 280 Ste 225Birmingham, AL 35242-1407 · Phone (205) 408-4349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Austin Ryan Gauldin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183027352
PECOS Enrollment IDI20241203001513
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.

Medicare Billing Reassignment

Medicare enrollment records show Austin Gauldin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Centers, LLC
35 mi
Family Medicine
320 COOSA ST E
Talladega, AL 35160
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1184688244 (256) 362-3636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS N. NOLEN M.D.
Family Medicine
247 WALTON ST
COLUMBIANA, AL 35051
Shelby County (205) 670-9690
DON MAX THROWER C.R.N.P.
Nurse Practitioner
247 WALTON ST
COLUMBIANA, AL 35051
Shelby County (256) 362-3636

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 Austin Gauldin's NPI number?

The NPI number for Austin Gauldin is 1174103303. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Austin Gauldin located?

Austin Gauldin practices at 247 Walton St, Columbiana, AL 35051. The listed phone number is (205) 749-8920.

What is Austin Gauldin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Austin Gauldin enrolled in Medicare?

Yes. Austin Gauldin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Austin Gauldin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Gauldin reassigns Medicare benefits to Baptist Health Centers, LLC (Talladega, AL). The 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 Austin Gauldin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Gauldin accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Austin Gauldin 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.

When was this NPI record last updated?

The NPPES record for Austin Gauldin was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.