NPIMap

Organization Active NPI

Gill Family Medicine, P.C.

  • Family Medicine Physician
  • Decatur, AL
National Provider Identifier
1144574872
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GILL FAMILY MEDICINE, P.C.
Practice address
2422 Danville Rd SW
Suite E
Decatur, AL 35603-4220
Phone
(256) 355-9040
Fax
(256) 355-9048
NPI assigned
Nov 2, 2012
Organization subpart
Yes
Parent organization
GILL FAMILY MEDICINE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Marlin D Gill, M.D.NPI 1336251636
Title
President
Phone
(256) 355-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2422 Danville Rd SW
Suite E
Decatur, AL 35603-4220

Mailing address

PO Box 5750
Decatur, AL 35601-0750
Phone (256) 355-9040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marlin.gill@gillfam.direct.med.connect-inc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Gill Family Medicine PC

Locations

2422 Danville Rd SW
Ste E
Decatur, AL 35603
Phone (256) 355-9040

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1144574872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5750",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356010750",
            "telephone_number": "256-355-9040",
            "fax_number": "256-355-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 DANVILLE RD SW",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034220",
            "telephone_number": "256-355-9040",
            "fax_number": "256-355-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL FAMILY MEDICINE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GILL FAMILY MEDICINE, P.C.",
        "enumeration_date": "2012-11-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-355-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marlin.gill@gillfam.direct.med.connect-inc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2422 Danville Rd SW",
            "address_2": "Suite E",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356034220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.