HAILEY WOOLLEN GAVIGAN MD
NPI 1548671902
Pediatrics - Pediatric Nephrology in Charlotte, NC

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 11 more (14 updates tracked since 2020).

About Hailey Woollen Gavigan Md NPPES

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

HAILEY WOOLLEN GAVIGAN MD (NPI 1548671902) is an individual pediatric nephrology provider in Charlotte, North Carolina, licensed in North Carolina (2020-02079) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1548671902
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameHAILEY WOOLLEN GAVIGANCredential: MD
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of Medicine
Enumeration DateMay 19, 2014
Last NPPES UpdateJuly 15, 202414 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1548671902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License Licensed in NC · 2020-02079
Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 2020-02079 (NC)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 2020-02079 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 4

Location 11781 Tate Blvd SEHickory, NC 28602-4251 · Phone (704) 381-8840
Location 2100 Medical Park Dr, Ste 310Concord, NC 28025-2948 · Phone (704) 403-2660
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422
Location 44501 Cameron Valley Pkwy, Ste 300Charlotte, NC 28211-4297 · Phone (704) 381-1410

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hailey Woollen Gavigan Md 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.

PECOS PAC ID8820359128
PECOS Enrollment IDI20200811000987
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Hailey Gavigan's NPI number?

The NPI number for Hailey Gavigan is 1548671902. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Hailey Gavigan located?

Hailey Gavigan practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Hailey Gavigan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Hailey Gavigan enrolled in Medicare?

Yes. Hailey Gavigan 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.

What insurance does Hailey Gavigan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Hailey Gavigan 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 Hailey Gavigan affiliated with any hospitals?

According to CMS data, Hailey Gavigan is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Hailey Gavigan was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.