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

Mr. Gavin W Nowell, PA

Individual provider Medical Physician Assistant · NPI 1194148130

Mr. Gavin W Nowell, PA is a Physician Assistant in Jackson, Mississippi. Qualified in 2013, 13 years ago. Practices with Quad Intermed Company LLC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2014
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

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 968-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1194148130
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 28, 2014
Last updated in NPPESJanuary 28, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Quad Intermed Company Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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