Healthcare Provider Details

I. General information

NPI: 1033061494
Provider Name (Legal Business Name): GAVIN HOPKINS CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HOSPITAL RD
SYLVA NC
28779-2722
US

IV. Provider business mailing address

528 HOLTZCLAW RD
CANTON NC
28716-4668
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number157743
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: