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JACKSONVILLE INTERNAL MEDICINE
NPI 1811066103
Internal Medicine in Jacksonville, AL

Active since November 08, 2006
2270 PELHAM RD S, JACKSONVILLE, AL 36265(256) 435-5499(256) 435-6064 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacksonville Internal Medicine NPPES

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

JACKSONVILLE INTERNAL MEDICINE (NPI 1811066103) is a healthcare organization registered as an internal medicine in Jacksonville, Alabama and active in the NPI registry since November 2006. The organization lists Rey Gavino, Owner, as its authorized official.

NPPES Registry Identity

NPI1811066103
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSONVILLE INTERNAL MEDICINE
Location Address2270 PELHAM RD SJacksonville, AL 36265-9582
Mailing AddressPo Box 550Jacksonville, AL 36265 · (256) 435-5499 · Fax (256) 435-6064
Phone(256) 435-5499
Fax(256) 435-6064
Organization SubpartNo
Authorized OfficialRey GavinoOwner · (256) 435-5499
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1811066103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 25404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2270 PELHAM RD S, Jacksonville, AL 36265
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Other Identifiers 3

Other01D1017203AL · Clia
Medicaid529917260AL
Medicare ID-Type UnspecifiedK191AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jacksonville Internal Medicine, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Joy Gavino
Internal Medicine
NPI 1003992157
214 ROME AVE
Piedmont, AL 36272
(256) 447-6262
✔ PECOS13 mi
Rey Gavino, M.D.
Internal Medicine
NPI 1659457794
430 GEORGE WALLACE DR # 246
Gadsden, AL 35903
(256) 343-1800
✔ PECOS✔ Accepts Medicare21 mi

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

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 Jacksonville Internal Medicine's NPI number?

The NPI number for Jacksonville Internal Medicine is 1811066103. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Jacksonville Internal Medicine located?

Jacksonville Internal Medicine is located at 2270 Pelham Rd S, Jacksonville, AL 36265. The listed phone number is (256) 435-5499.

What is Jacksonville Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacksonville Internal Medicine enrolled in Medicare?

Yes. Jacksonville Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacksonville Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Jacksonville Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacksonville Internal Medicine was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.