Jacinta Irene Gillis, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME 99298 Issued in FL

Practice address

8005 Kaureen Garden PL
Tampa, FL 33615-1695

Phone

(813) 412-6345

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• National Medical Affiliates Inc

  • Internal Medicine Physician
  • Punta Gorda, FL
  • NPI 1811984529
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1649210337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 KAUREEN GARDEN PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151695",
            "telephone_number": "813-412-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 KAUREEN GARDEN PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151695",
            "telephone_number": "813-412-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JACINTA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME 99298",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "355955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Gilliam, PA-C
• Samaiya Gilliam
• Gillian Lawrick, Psy.D., LLC
• Jovan Nicole Gilliland, ARNP
• Dalys M Gilling, M.D.
• Chase Franklin Gillispie, MD
• Gilman R Tyler MD PA
• Laura Gilstrap, RD, LD/N
• Thomas James Gilton, DMD
• Michelle Lee Gilyard, BSW

• Hospitalist Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.