Jessica Lynn Gillman, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2016-01695 Issued in NC

Practice address

1144 N Road Streeat
Elizabeth City, NC 27909-0000

Phone

(252) 335-0531

NPI assigned

Jun 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Lynn Rodriguez Other name

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

West Virginia School of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outer Banks Professional Services, LLC 163 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
• Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgillman415017@direct.ecuhealth.com

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.

• Outer Banks Professional Services, LLC

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357

  Internal Medicine, NC

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Physicians of Mecklenburg County, PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1912232182

  Emergency Medicine, NC

  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  NC

  Medicare reassignment NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Franklin, VA
  • NPI 1740529700

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070

  Internal Medicine, VA

  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Internal Medicine, VA

  Medicare reassignment NPD
• Tidewater Emergency Medical Care, LTD.

  • Emergency Medicine Physician
  • Chesapeake, VA
  • NPI 1710991153

  Emergency Medicine, VA

  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Alexandria, VA
  • NPI 1720839764

  Emergency Medicine

  NPD
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102

  Internal Medicine

  NPD
• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sentara Albemarle Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168

  Hospital

  Care Compare affiliation
• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253

  Hospital

  Care Compare affiliation
• Maryview Hospital

  • Urology Physician
  • Chesapeake, VA
  • NPI 1053638890

  Hospital

  Care Compare affiliation
• Maryview Hospital

  • Family Medicine Physician
  • Carrollton, VA
  • NPI 1316193741

  Hospital

  Care Compare affiliation
• Maryview Hospital

  • Surgery Physician
  • Suffolk, VA
  • NPI 1417127382

  Hospital

  Care Compare affiliation
• Maryview Hospital

  • Internal Medicine Physician
  • Chesapeake, VA
  • NPI 1508893892

  Hospital

  Care Compare affiliation
• Maryview Hospital

  • Pain Medicine Physician
  • Portsmouth, VA
  • NPI 1871802413

  Hospital

  Care Compare affiliation
• Maryview Hospital LLC

  • Neurology Physician
  • Portsmouth, VA
  • NPI 1427229749

  Hospital

  Care Compare affiliation
• Maryview Hospital LLC

  • Internal Medicine Physician
  • Suffolk, VA
  • NPI 1437452927

  Hospital

  Care Compare affiliation
• Maryview Hospital LLC

  • General Acute Care Hospital
  • Portsmouth, VA
  • NPI 1750399192

  Hospital

  Care Compare affiliation
• Maryview Hospital LLC

  • Family Medicine Physician
  • Suffolk, VA
  • NPI 1952338246

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1275829475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WIDGEON DR",
            "city": "CURRITUCK",
            "state": "NC",
            "postal_code": "279299628",
            "telephone_number": "910-331-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N ROAD STREEAT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279090000",
            "telephone_number": "252-335-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 Caratoke Hwy",
            "address_purpose": "LOCATION",
            "city": "Moyock",
            "state": "NC",
            "postal_code": "279588672",
            "country_code": "US",
            "telephone_number": "252-435-1275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 River Walk Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233206893",
            "country_code": "US",
            "telephone_number": "757-983-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102207591",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-01695",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2016-01695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RODRIGUEZ",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Elizabeth City, NC
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.