Active NPI
Donnell Gill
- Funeral Director
- Kings Mountain, NC
National Provider Identifier
1265182737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- License
- 1560
- Practice address
- 102 Cameron Dr
Kings Mountain, NC 28086-8912 - Phone
- (704) 692-5555
- Fax
- (704) 739-3338
- NPI assigned
- Mar 26, 2022
- Last updated
- Mar 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Funeral Director | 176P00000X | 1560 | NC | Primary |
Addresses
Primary practice location
102 Cameron Dr
Kings Mountain, NC 28086-8912
Mailing address
102 Cameron Dr
Kings Mountain, NC 28086-8912
Phone (704) 692-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1560 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1265182737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CAMERON DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280868912",
"telephone_number": "704-692-5555",
"fax_number": "704-739-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CAMERON DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280868912",
"telephone_number": "704-692-5555",
"fax_number": "704-739-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "DONNELL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-26",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "NC",
"license": "1560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
- Gaston Family Health Services, Inc. (Kintegra Family Medicine - Kings Mountain West)
- Gaurang Palikh, MD, PC
- Deepak Ramchandra Gelot., M.D.
- David Whelchel Gentry, MSSW
- George & Dest, DDS, PLLC (Dest Family Dentistry of Kings Mountain)
- Donald James Gloege, LCSW, LISW-CP, BCD
- Ruby Katherine Gordon, MA,EDS,LPC
- McGovern Greeley
- Tenae Griffin, NP
- Michael Bernard Haas, PT, DPT, CAFS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.