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

Gavin Casey Mayo

Individual provider Family Nurse Practitioner · NPI 1902514680

Gavin Casey Mayo is a Nurse Practitioner in Carriere, Mississippi. Qualified in 2022, 4 years ago. Practices with Wound Care Associates LLC, a 119-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022

Practice location Address checks out

200 Course Dr Ste M
Carriere, MS 39426-9037
Phone: (769) 242-3185
Fax: (769) 242-0099
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905668 (MS)

Record details

NPI number1902514680
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2022
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing addressPo Box 1089, Hammond, LA 70404-1089

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wound Care Associates Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Carriere