Individual provider Active NPI

Gina Marie Feriola

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1053909648
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001939 Issued in GA
Practice address
5190 Indian Cir
Gainesville, GA 30506-3172
Phone
(941) 830-0031
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP001939 GA Primary
Family Nurse Practitioner 363LF0000X APRN11010849 FL

Addresses

Primary practice location

5190 Indian Cir
Gainesville, GA 30506-3172

Mailing address

5190 Indian Cir
Gainesville, GA 30506-3172
Phone (941) 830-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230426001743 FL Practitioner - Nurse Practitioner 1153786140
I20250425000870 GA Practitioner - Nurse Practitioner 1153786140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pruitthealth Physicians Services LLCGroup PAC ID 8123327061, 17 clinicians

Practice addresses (Care Compare)

2560 Flintridge Rd
Gainesville, GA 30501-7425
Phone (770) 536-3391

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare Solutions Inc CurrentSince May 1, 2023 Accepting new patients
Pruitthealth Physicians Services, LLC Family CurrentSince Apr 27, 2025 Accepting new patients
TLC of Georgia LLC Family CurrentSince Dec 6, 2024 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

2451 Peachtree Industrial Blvd
Buford, GA 30518
Phone (770) 614-2800

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

2560 Flintridge Rd
Gainesville, GA 30501
Phone (770) 536-3391

1931 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (470) 252-3185

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Interoperability endpoints

  • Direct secure messaging: ms_gferiola@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1053909648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 INDIAN CIR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063172",
            "telephone_number": "941-830-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 INDIAN CIR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063172",
            "telephone_number": "941-830-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERIOLA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001939",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.