Individual provider Active NPI

Donnell Anthony Gemus Jr., PA-C

  • Physician Assistant
  • Monroe, MI
National Provider Identifier
1801233614
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006669 Issued in MI
Practice address
1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231
Phone
(734) 344-3472
Fax
(734) 344-7431
NPI assigned
Jun 3, 2013
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006669 MI Primary

Addresses

Primary practice location

1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231

Mailing address

PO Box 2470
Monroe, MI 48161-7470
Phone (734) 344-7432

Other names 1

  • Don Gemus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131108000937 MI Practitioner - Physician Assistant 0547495087 Reassigns benefits to 1 organization
I20260604000390 OH Practitioner - Physician Assistant 0547495087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Make Your Turn LLCGroup PAC ID 1850830621, 3 clinicians

Practice addresses (Care Compare)

1645 N Dixie Hwy
Suite 2
Monroe, MI 48162-5231

1645 N Dixie Hwy 2
Myt Monore
Monroe, MI 48162-5231
Phone (734) 265-0120

3450 W Central Ave
Suite 122
Toledo, OH 43606-1421
Phone (419) 210-3660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006669MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1801233614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2470",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481617470",
            "telephone_number": "734-344-7432",
            "fax_number": "734-344-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N DIXIE HWY STE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625231",
            "telephone_number": "734-344-3472",
            "fax_number": "734-344-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMUS",
        "first_name": "DONNELL",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "GEMUS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.