Active NPI
Donna F Gill, DNP, FNP-C
- Family Nurse Practitioner
- Palm Coast, FL
National Provider Identifier
1841263894
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000238 | Medicaid | NC |
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN0000963 | CO | MD | Family Nurse Practitioner |
| ARNP9454264 | FL | MD | Family Nurse Practitioner |
| 209017416 | IL | MD | Family Nurse Practitioner |
| 4284 | MN | MD | Family Nurse Practitioner |
| R0119577 | OK | MD | Family Nurse Practitioner |
| 17568 | SC | MD | Family Nurse Practitioner |
| APN0000025021 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Case Management Agency
- Summerville, SC
- NPI 1811404890
-
- Emergency Medicine Physician
- Rutherfordton, NC
- NPI 1700801636
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.