Gina J Carroll

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110005575 Issued in VA

Practice address

800 5TH St
Lynchburg, VA 24504-2848

Phone

(434) 439-2154

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Access NetworkGroup PAC ID 8224333026, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ginacarroll@coan.allscriptsdirect.net

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.

• Community Access Network

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1780058628
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1265953699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 CEDAR RIDGE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019414",
            "telephone_number": "434-825-6157",
            "fax_number": "877-974-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042848",
            "telephone_number": "434-439-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Cedar Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229019414",
            "country_code": "US",
            "telephone_number": "434-825-6157",
            "fax_number": "877-974-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "GINA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reijyel Angenithe Martinez Carr
• Stephanie R. Carr
• Thomas Joseph Carrico, M.D.
• Carrington-LTC, LLC (The Carrington)
• Lauren E Carrington, L.P.T.A.
• Jeffrey Arthur Carruth II
• Kinston Jack Carson
• Nicole Carson, LPC
• Rebecca Carson, MA, LPC, NCC
• Christopher Deshay Carter

• Physician Assistant in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.