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MRS. JALYSA GAVIN FNP-C
NPI 1972154318
Nurse Practitioner - Family in Goldsboro, NC

Active since September 26, 2019PECOS Enrolled
204 MALLOY ST STE A, GOLDSBORO, NC 27534(919) 751-7665 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jalysa Gavin Fnp-c NPPES

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

MRS. JALYSA GAVIN FNP-C (NPI 1972154318) is an individual family provider in Goldsboro, North Carolina, licensed in North Carolina (5012334) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972154318
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JALYSA GAVINCredential: FNP-C
Location Address204 MALLOY ST STE AGoldsboro, NC 27534-4477
Mailing Address2905 Oakwood DrWinterville, NC 28590-8067 · (910) 441-8652
Phone(919) 751-7665
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
✔ NPI 1972154318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5012334
204 MALLOY ST STE A, Goldsboro, NC 27534
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, 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)

Mrs. Jalysa Gavin Fnp-c 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.

Medicare Billing Reassignment

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

Van L. Adams M. D., PLLC
Same address
Primary Care
204 MALLOY ST STE A
Goldsboro, NC 27534
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1124460514 (919) 751-7665

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

VAN L. ADAMS M. D., PLLC
Clinic/Center (Primary Care)
204 MALLOY ST STE A
GOLDSBORO, NC 27534
Wayne County (919) 751-7665

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 Jalysa Gavin's NPI number?

The NPI number for Jalysa Gavin is 1972154318. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Jalysa Gavin located?

Jalysa Gavin practices at 204 Malloy St Ste A, Goldsboro, NC 27534. The listed phone number is (919) 751-7665.

What is Jalysa Gavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jalysa Gavin enrolled in Medicare?

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

Which organization bills Medicare for Jalysa Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jalysa Gavin reassigns Medicare benefits to Van L. Adams M. D., PLLC (Goldsboro, NC). 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 Jalysa Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jalysa Gavin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Cigna Healthcare and UnitedHealthcare list Jalysa Gavin 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 Jalysa Gavin was last updated on September 26, 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.