Active NPI
Simpal Kaur Gill, MBBS
- Anatomic Pathology & Clinical Pathology Physician
- Warner Robins, GA
National Provider Identifier
1942439716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 074289
- Practice address
- 1601 Watson Blvd.
Sepa Labs @ Houston Medical Center
Warner Robins, GA 31093 - Phone
- (912) 261-2669
- Fax
- (912) 261-0753
- NPI assigned
- Jul 14, 2009
- Last updated
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 074289 | GA | Primary |
Addresses
Primary practice location
1601 Watson Blvd.
Sepa Labs @ Houston Medical Center
Warner Robins, GA 31093
Mailing address
203 Indigo Dr
Sepa Labs
Brunswick, GA 31525-6865
Phone (912) 261-2669
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1942439716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 INDIGO DR",
"address_2": "SEPA LABS",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315256865",
"telephone_number": "912-261-2669",
"fax_number": "912-261-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WATSON BLVD.",
"address_2": "SEPA LABS @ HOUSTON MEDICAL CENTER",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31093",
"telephone_number": "912-261-2669",
"fax_number": "912-261-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "SIMPAL",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "074289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.