Individual provider Active NPI

Dominique Pinilla, FNP-C

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1124103965
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN253292 Issued in GA
Practice address
3720 Davinci CT Ste 400
Norcross, GA 30092-7625
Phone
(706) 582-4462
NPI assigned
Oct 26, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT18 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 18

Enrollment IDStateProvider typePAC IDDetails
I20060426000559 SC Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20180705001546 AZ Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20181030001090 GA Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 4 organizations
I20190206000468 FL Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 6 organizations
I20201021002889 PA Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20210112000782 NC Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20210115001432 WA Practitioner - Nurse Practitioner 4880604446
I20210608003188 OH Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20210720004166 TX Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20210923001053 MI Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20220330001793 VA Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20221220000320 NY Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 1 organization
I20230714000314 KY Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20230821000371 TN Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 3 organizations
I20231106000829 IA Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20231116000543 AL Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 4 organizations
I20240403001215 WV Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 2 organizations
I20240411001886 CT Practitioner - Nurse Practitioner 4880604446 Reassigns benefits to 1 organization

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
Vitality Consultants LLCGroup PAC ID 2567942899, 3 clinicians

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

LicenseStateTypeSpecialty
11227CTMDDentist
AP5358AZMDNurse Practitioner
A173673IAMDNurse Practitioner
215869LAMDNurse Practitioner
4704375947MIMDNurse Practitioner
810603MSMDNurse Practitioner
1016285TXMDNurse Practitioner
3-000363ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Florida LLC CurrentSince Jun 30, 2023 Accepting new patients
Physicians Eldercare PA CurrentSince Nov 18, 2023 Accepting new patients
Curana Health of Kentucky LLC Nurse Practitioner CurrentSince Jun 5, 2023 Accepting new patients
Curana Health of Alabama LLC CurrentSince Sep 9, 2024 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Mar 16, 2020 Accepting new patients
CH Specialty Services SC LLC Nurse Practitioner CurrentSince May 21, 2023 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Jun 20, 2023 Accepting new patients
Curana Health of South Carolina PC CurrentSince Mar 16, 2020 Accepting new patients
Tennessee Health Partners LLC Nurse Practitioner CurrentSince Jun 27, 2023 Accepting new patients
Curana Health of West Virginia LLC Family CurrentSince Apr 23, 2024 Accepting new patients
Curana Health of Arizona CurrentSince Oct 24, 2024 Accepting new patients
Vitality Consultants LLC CurrentSince Dec 29, 2025 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Jul 26, 2023 Accepting new patients
Curana Health of Virginia LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Curana Health of New Mexico LLC Nurse Practitioner CurrentSince Jun 30, 2023 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 12, 2024 Accepting new patients
Curana Health of Michigan PLLC Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Apr 1, 2023 Accepting new patients
Sunshine Health Partners, LLC CurrentSince Jun 30, 2023 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Jul 26, 2024 Accepting new patients
Curana Health of Tennessee LLC Nurse Practitioner CurrentSince Jun 27, 2023 Accepting new patients
Curana Health of Ohio CurrentSince Jul 26, 2023 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 18, 2023 Accepting new patients
CH Specialty Services Ia PC CurrentSince Jul 26, 2024 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

  • Direct secure messaging: dpinilla@landmarkhealth-direct.org
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: 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.

View all 35

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

Verify at the official NPI Registry.