Gina Dominguez Castillo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

113630 Issued in GA

Practice address

115 Academy St Ste 101
Canton, GA 30114-3008

Phone

(470) 389-4970

Fax

(470) 401-1089

NPI assigned

Apr 11, 2023

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 NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: gdoninguecastillo456873@directhisp.wakemed.org
• Direct secure messaging: gdominguezcastillo1037545@direct.unc.nchie.net
• FHIR API: https://fhir4.healow.com/fhir/r4/HAGIDD

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.

• Our Village Pediatrics, LLC

  • Pediatrics Physician
  • Canton, GA
  • NPI 1255952347
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1477248706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "470-389-4970",
            "fax_number": "470-401-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "470-389-4970",
            "fax_number": "470-401-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ CASTILLO",
        "first_name": "GINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "113630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya N Dixit, DDS MPH
• Loryn Hill Dobbins
• Andre Latura Dobson, M.D.
• Allison Curving Doerr, PH.D., BCBA-D
• Joelle Emily Doherty, LPC
• Yi Dong
• Donna C. Haley, M.D., P.C.
• Jeffrey Allen Donohue
• Kerry Donovan, PHARMD
• Kaitlin Doody

• Pediatrics Physician in Canton, GA
• Providers in Canton, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.