Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larisa P Gavrilova-Jordan, MD

Individual provider Reproductive Endocrinology Physician · NPI 1003895780

Dr. Larisa P Gavrilova-Jordan, MD is an Obstetrics/Gynecology in Augusta, Georgia. Qualified in 1998, 28 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia, Minnesota and North Carolina.

Years since qualifying
28
Licensed in
GA, MN, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 724-6100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence 70748 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 46727 (MN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2006-00745 (NC)

Record details

NPI number1003895780
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJune 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Augusta