Active NPI
Gina C Wilkins, MD
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 33258
- Practice address
- 1 Audubon Plaza Dr
Louisville, KY 40217-1318 - Phone
- (502) 636-7111
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33258 | KY | |
| Emergency Medicine Physician | 207P00000X | 33258 | KY | Primary |
Addresses
Primary practice location
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Mailing address
1155 W 3Rd St
Bloomington, IN 47404-5016
Phone (812) 336-1690
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33258 | Other | KY | KY LICENSE |
| 64332588 | Medicaid | KY | |
| 000000710412 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33258 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Past | Accepting new patients | |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Urgent Care Services Southeast PSC | Past | Accepting new patients | |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Kentuckiana Emergency Physicians | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240
320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Care Clinic/Center
- Louisville, KY
- NPI 1942362058
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1427831759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407968019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 W 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474045016",
"telephone_number": "812-336-1690",
"fax_number": "812-349-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AUDUBON PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171318",
"telephone_number": "502-636-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "GINA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "33258",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "33258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LICENSE",
"identifier": "33258",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64332588",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000710412",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.