Individual provider Active NPI

Jill A Gaines, MD

  • Obstetrics & Gynecology Physician
  • Roanoke, VA
National Provider Identifier
1407939077
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200300786 Issued in NC
Practice address
21 Highland Ave SE
Suite 200
Roanoke, VA 24013-2201
Phone
(540) 982-8881
Fax
(540) 982-0501
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200300786 NC Primary

Addresses

Primary practice location

21 Highland Ave SE
Suite 200
Roanoke, VA 24013-2201

Mailing address

21 Highland Ave SE
Suite 200
Roanoke, VA 24013-2201
Phone (540) 982-8881

Other identifiers 3

IdentifierTypeStateIssuer
89135F6MedicaidNC
N0078AMedicaidSC
P00391091OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090520000579 VA Practitioner - Obstetrics/Gynecology 1052419496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200300786NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Aug 2, 2022 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients
CMG- Gaston Women's Healthcare LLC Obstetrics & Gynecology Past Accepting new patients
Gaston Women's Healthcare, PA Obstetrics & Gynecology Past Accepting new patients

Locations

300 Medical Pkwy
Ste 302
Chesapeake, VA 23320
Phone (757) 312-8403

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

21 Highland Ave SE
Ste 200
Roanoke, VA 24013
Phone (540) 982-8881

Interoperability endpoints

  • Direct secure messaging: jill.gaines.1@22824.direct.athenahealth.com
  • Direct secure messaging: jill.a.gaines@ptwi-va.direct.office.nextgen.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1407939077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "SUITE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-982-8881",
            "fax_number": "540-982-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "SUITE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-982-8881",
            "fax_number": "540-982-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200300786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135F6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0078A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.