Individual provider Active NPI

Donna F Gill, DNP, FNP-C

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1841263894
Registry record updated Sep 17, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17568 Issued in SC
Practice address
68 Longview Way N
Palm Coast, FL 32137-4566
Phone
(843) 708-0185
Fax
(888) 389-9894
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000025021 TN
Family Nurse Practitioner 363LF0000X ARNP9454264 FL
Family Nurse Practitioner 363LF0000X C-APN0000963 CO
Family Nurse Practitioner 363LF0000X 4284 MN
Family Nurse Practitioner 363LF0000X R0119577 OK
Family Nurse Practitioner 363LF0000X 209017416 IL
Family Nurse Practitioner 363LF0000X 17568 SC Primary

Addresses

Primary practice location

68 Longview Way N
Palm Coast, FL 32137-4566

Mailing address

68 Longview Way N
Palm Coast, FL 32137-4566
Phone (843) 708-0185

Other identifiers 1

IdentifierTypeStateIssuer
7000238MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN0000963COMDFamily Nurse Practitioner
ARNP9454264FLMDFamily Nurse Practitioner
209017416ILMDFamily Nurse Practitioner
4284MNMDFamily Nurse Practitioner
R0119577OKMDFamily Nurse Practitioner
17568SCMDFamily Nurse Practitioner
APN0000025021TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Forensic Consultants Current Accepting new patients
Rutherford Emergency Medicine PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1841263894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LONGVIEW WAY N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374566",
            "telephone_number": "843-708-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 LONGVIEW WAY N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374566",
            "telephone_number": "843-708-0185",
            "fax_number": "888-389-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DONNA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000025021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9454264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN0000963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0119577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017416",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.