Individual provider Active NPI

Domonic Jovan Hill, M.D.

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1962821033
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
88800 Issued in GA
Practice address
601 E 66TH St
Savannah, GA 31405-4519
Phone
(912) 503-9539
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME139321 FL
Psychiatry Physician 2084P0800X 88800 GA Primary

Addresses

Primary practice location

601 E 66TH St
Savannah, GA 31405-4519

Mailing address

601 E 66TH St # Ga
Savannah, GA 31405-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001418 GA Practitioner - Psychiatry 1254636327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139321FLMDPsychiatry Physician
88800GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Service Board CurrentSince Mar 1, 2023 Accepting new patients
Dekalb Community Service Board CurrentSince Oct 23, 2023 Accepting new patients
Gateway Behavioral Health Services CurrentSince Mar 1, 2023 Accepting new patients

Locations

23 Warren St SE
Atlanta, GA 30317
Phone (404) 370-7474

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1962821033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST # GA",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-503-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DOMONIC",
        "middle_name": "JOVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME139321",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "88800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.