Active NPI
Dominique Pinilla, FNP-C
- Family Nurse Practitioner
- Norcross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN253292
- Practice address
- 3720 Davinci CT Ste 400
Norcross, GA 30092-7625 - Phone
- (706) 582-4462
- NPI assigned
- Oct 26, 2006
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704375947 | MI | |
| Nurse Practitioner | 363L00000X | 1016285 | TX | |
| Nurse Practitioner | 363L00000X | 215869 | LA | |
| Nurse Practitioner | 363L00000X | APRN9450731 | FL | |
| Nurse Practitioner | 363L00000X | 5013683 | NC | |
| Nurse Practitioner | 363L00000X | 810603 | MS | |
| Nurse Practitioner | 363L00000X | A173673 | IA | |
| Nurse Practitioner | 363L00000X | 2833 | SC | |
| Nurse Practitioner | 363L00000X | 4005394 | KY | |
| Nurse Practitioner | 363L00000X | 117974 | WV | |
| Nurse Practitioner | 363L00000X | SP022300 | PA | |
| Nurse Practitioner | 363L00000X | AP5358 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 3-000363 | AL | |
| Family Nurse Practitioner | 363LF0000X | RN253292 | GA | Primary |
Addresses
Primary practice location
3720 Davinci CT Ste 400
Norcross, GA 30092-7625
Mailing address
408 Joy Springs CT
Grovetown, GA 30813-0288
Phone (423) 943-0856
Other practice location 1
335 Pleasant Point Dr
Beaufort, SC 29907-1164
Phone (803) 699-9073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ, GA, FL, PA, NC, WA, OH, TX, MI, VA, NY, KY, TN, IA, AL, WV, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 18
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Blue Bell, PA 19422
Phone (888) 668-9087
Miami, FL 33132
Phone (888) 668-9087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11227 | CT | MD | Dentist |
| AP5358 | AZ | MD | Nurse Practitioner |
| A173673 | IA | MD | Nurse Practitioner |
| 215869 | LA | MD | Nurse Practitioner |
| 4704375947 | MI | MD | Nurse Practitioner |
| 810603 | MS | MD | Nurse Practitioner |
| 1016285 | TX | MD | Nurse Practitioner |
| 3-000363 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Florida LLC | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients | |
| Curana Health of Kentucky LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of Alabama LLC | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| CH Specialty Services SC LLC | Nurse Practitioner | Current | Accepting new patients |
| CH Specialty Services TX PLLC | Family | Current | Accepting new patients |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Tennessee Health Partners LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of West Virginia LLC | Family | Current | Accepting new patients |
| Curana Health of Arizona | Current | Accepting new patients | |
| Vitality Consultants LLC | Current | Accepting new patients | |
| Preferred Physician Services of Ohio LLC | Current | Accepting new patients | |
| Curana Health of Virginia LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of New Mexico LLC | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of Michigan PLLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of Pennsylvania PC | Current | Accepting new patients | |
| Sunshine Health Partners, LLC | Current | Accepting new patients | |
| Curana Health of Iowa PLLC | Current | Accepting new patients | |
| Curana Health of Tennessee LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of Ohio | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients | |
| CH Specialty Services Ia PC | Current | Accepting new patients | |
| Doctors Care, PA | Past | Accepting new patients | |
| Teresa L Cope PLLC | Past | Accepting new patients |
Locations (25 of 40)
4171 Lomac St
#1153
Montgomery, AL 36106
1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356
13755 N Litchfield Rd
Ste 105
Surprise, AZ 85379
Phone (623) 248-7404
2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546
14 NE 1st Ave
Ste 1403
Miami, FL 33132
Phone (786) 245-3212
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050
2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258
2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581
239 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 312-0496
211 Mathis Ave
Twin City, GA 30471
Phone (478) 763-2141
7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604
200 16th Ave E
Spc Care
Albia, IA 52531
444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061
444 N West View Dr
Spc Care
Osceola, IA 50213
4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (502) 272-4400
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300
3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697
9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800
Interoperability endpoints
- dpinilla@landmarkhealth-direct.org
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/HEJBAA
Organizations & group practices 35
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Nurse Practitioner
- Charlotte, NC
- NPI 1497644124
AL, FL, MI, NY, PA, SC
-
- Internal Medicine Physician
- Osceola, IA
- NPI 1942909353
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1306225701
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
GA, Nurse Practitioner
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1144450347
-
- Internal Medicine Physician
- Surprise, AZ
- NPI 1467187237
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1013628676
-
- Internal Medicine Physician
- Osceola, IA
- NPI 1730773714
-
- Nurse Practitioner
- Louisville, KY
- NPI 1124328323
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1659921278
Nurse Practitioner
-
- Internal Medicine Physician
- Espanola, NM
- NPI 1598352015
FL, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1124103965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 JOY SPRINGS CT",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308130288",
"telephone_number": "423-943-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 DAVINCI CT STE 400",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300927625",
"telephone_number": "706-582-4462"
}
],
"practiceLocations": [
{
"address_1": "335 Pleasant Point Dr",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299071164",
"country_code": "US",
"telephone_number": "803-699-9073",
"fax_number": "803-764-2361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINILLA",
"first_name": "DOMINIQUE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704375947",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1016285",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "215869",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9450731",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013683",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "810603",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A173673",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "2833",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4005394",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "117974",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP022300",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP5358",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-000363",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN253292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.