Pushpinder Gill, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5011193 Issued in NC

Practice address

702 N Main St
Roxboro, NC 27573-4755

Phone

(336) 599-9271

Fax

(336) 322-1585

NPI assigned

Jan 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Person Family Medical Center IncorporatedGroup PAC ID 9436123379, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: pushpinder.gill.p1@direct.personfamily.nextgenshare.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.

• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1952493587
  Medicare reassignment Care Compare group NPD
• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment Care Compare group NPD
• Compassion Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Yanceyville, NC
  • NPI 1134201387
  Medicare reassignment NPD
• Indycare Medical North Carolina

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1548740038
  Medicare reassignment NPD
• Two Rivers Physician Practices, LLC

  • Family Medicine Physician
  • Yanceyville, NC
  • NPI 1164828471
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Compassion Health Care Inc

  • Long Term Care Pharmacy
  • Yanceyville, NC
  • NPI 1740932029
  NPD
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156

  Psychiatry

  NPD
• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1194899542
  NPD (past)

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1386180230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-322-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-322-1585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Fulton St # B10019",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053875",
            "country_code": "US",
            "telephone_number": "919-286-0411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 US Highway 158 W",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273798304",
            "country_code": "US",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-7511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Nc Highway 55 W",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "NC",
            "postal_code": "283658527",
            "country_code": "US",
            "telephone_number": "919-658-5900",
            "fax_number": "910-267-8981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "PUSHPINDER",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "263237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "263237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26323",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26323",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386180230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Shoe Gentry, PT
• George Anna House, Inc.
• Mathew George, MD
• Jennifer Gilbert
• Tammy Stewart Gilbert, RPH
• Michael J Godard, DO
• Olivia Grace Goddard
• Patrick L Godwin, MD
• David Gossard
• GP Yancey Enterprises Inc

• Psychiatric/Mental Health Nurse Practitioner in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.