Individual provider Active NPI

Virginia Caitlin Gill

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1558097444
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905445 Issued in MS
Practice address
971 Lakeland Dr Ste 557
Jackson, MS 39216-4661
Phone
(601) 200-4560
Fax
(601) 200-4580
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905445 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 557
Jackson, MS 39216-4661

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-4560

Other practice location 1

1000 Highland Colony Pkwy Ste 7205
Ridgeland, MS 39157-2099
Phone (601) 366-0855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgill@mississippimigrainecenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20221129002382 MS Practitioner - Nurse Practitioner 7113395914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

971 Lakeland Dr
Suite 557
Jackson, MS 39216-4661
Phone (601) 200-4560

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905445MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McFatter Family Medical, LLC CurrentSince May 1, 2023 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Nov 26, 2023 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Nov 26, 2023 Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

971 Lakeland Dr
Ste 557
Jackson, MS 39216
Phone (601) 200-4560

1896 Main St
Ste A
Madison, MS 39110
Phone (601) 398-9886

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

Interoperability endpoints

  • Direct secure messaging: vgill5249546@direct.casso.us.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 6

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1558097444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "601-200-4560",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 557",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164661",
            "telephone_number": "601-200-4560",
            "fax_number": "601-200-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Highland Colony Pkwy Ste 7205",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572099",
            "country_code": "US",
            "telephone_number": "601-366-0855",
            "fax_number": "601-898-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "VIRGINIA",
        "middle_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-12-26",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgill@mississippimigrainecenter.com",
            "affiliation": "N",
            "address_1": "1000 Highland Colony Pkwy Ste 7205",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391572099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.