NPI age
20 years
Enumerated 2006-01-11
● Active
Type 1 · Individual
DR. Larisa P Gavrilova-Jordan, M.D.
Gavrilova-Jordan is 1 of 8 obstetrics & gynecology providers in Augusta and 1 of 61 in Georgia.
Primary specialty
Obstetrics & Gynecology
Plus 2 subspecialties
Licensed in
GA, MN, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-06-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 61 active obstetrics & gynecology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
3 states
Top 91% — 8% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
1120 15th St
Augusta, GA 309120004
Mailing address
1499 Walton Way, Suite 1400
Augusta, GA 309012603
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5909224 | |
| 05 (MN) | 891448600 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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