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

Gavin Geralds, PA

Individual provider Physician Assistant · NPI 1962243972

Gavin Geralds, PA is a Physician Assistant in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone: (502) 446-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3458 (KY)

Record details

NPI number1962243972
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

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