Individual provider

Dominique Pinilla, FNP-C

Family Nurse Practitioner Nurse Practitioner Medicare enrolled

Dominique Pinilla, FNP-C is a Family Nurse Practitioner in Norcross, GA, registered under NPI 1124103965. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3720 DAVINCI CT STE 400, Norcross, GA 30092. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3720 DAVINCI CT STE 400, Norcross, GA 30092 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN253292 GA Family Nurse Practitioner primary
4704375947 MI Nurse Practitioner
1016285 TX Nurse Practitioner
215869 LA Nurse Practitioner
APRN9450731 FL Nurse Practitioner
5013683 NC Nurse Practitioner
810603 MS Nurse Practitioner
A173673 IA Nurse Practitioner
2833 SC Nurse Practitioner
4005394 KY Nurse Practitioner
117974 WV Nurse Practitioner
3-000363 AL Family Nurse Practitioner
SP022300 PA Nurse Practitioner
AP5358 AZ Nurse Practitioner

Licences are recorded in 14 states: GA, MI, TX, LA, FL, NC, MS, IA, SC, KY, WV, AL, PA, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4880604446

Enrolled in Medicare 18 times, across 18 states:

StateEnrollment IDProvider type
South Carolina I20060426000559 Practitioner - Nurse Practitioner
Arizona I20180705001546 Practitioner - Nurse Practitioner
Georgia I20181030001090 Practitioner - Nurse Practitioner
Florida I20190206000468 Practitioner - Nurse Practitioner
Pennsylvania I20201021002889 Practitioner - Nurse Practitioner
North Carolina I20210112000782 Practitioner - Nurse Practitioner
Washington I20210115001432 Practitioner - Nurse Practitioner
Ohio I20210608003188 Practitioner - Nurse Practitioner
Texas I20210720004166 Practitioner - Nurse Practitioner
Michigan I20210923001053 Practitioner - Nurse Practitioner
Virginia I20220330001793 Practitioner - Nurse Practitioner
New York I20221220000320 Practitioner - Nurse Practitioner
Kentucky I20230714000314 Practitioner - Nurse Practitioner
Tennessee I20230821000371 Practitioner - Nurse Practitioner
Iowa I20231106000829 Practitioner - Nurse Practitioner
Alabama I20231116000543 Practitioner - Nurse Practitioner
West Virginia I20240403001215 Practitioner - Nurse Practitioner
Connecticut I20240411001886 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 18 separate enrolment records across 18 states (SC, AZ, GA, FL, PA, NC, WA, OH, TX, MI, VA, NY, KY, TN, IA, AL, WV, CT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 14 states

This provider holds licences in 14 states: Alabama, Arizona, Florida, Georgia, Iowa, Kentucky, Louisiana, Michigan, Mississippi, North Carolina, Pennsylvania, South Carolina, Texas and West Virginia. The practice address on file is in Norcross, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
3-000363
Specialty
Family Nurse Practitioner
Verify with the AL board →
AZ Arizona
Licence
AP5358
Specialty
Nurse Practitioner
Verify with the AZ board →
FL Florida
Licence
APRN9450731
Specialty
Nurse Practitioner
Verify with the FL board →
GA Georgia practice address
Licence
RN253292
Specialty
Family Nurse Practitioner
Verify with the GA board →
IA Iowa
Licence
A173673
Specialty
Nurse Practitioner
Verify with the IA board →
KY Kentucky
Licence
4005394
Specialty
Nurse Practitioner
Verify with the KY board →
LA Louisiana
Licence
215869
Specialty
Nurse Practitioner
Verify with the LA board →
MI Michigan
Licence
4704375947
Specialty
Nurse Practitioner
Verify with the MI board →
MS Mississippi
Licence
810603
Specialty
Nurse Practitioner
Verify with the MS board →
NC North Carolina
Licence
5013683
Specialty
Nurse Practitioner
Verify with the NC board →
PA Pennsylvania
Licence
SP022300
Specialty
Nurse Practitioner
Verify with the PA board →
SC South Carolina
Licence
2833
Specialty
Nurse Practitioner
Verify with the SC board →
TX Texas
Licence
1016285
Specialty
Nurse Practitioner
Verify with the TX board →
WV West Virginia
Licence
117974
Specialty
Nurse Practitioner
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family RN253292 GA primary
363L00000X Nurse Practitioner 4704375947 MI
363L00000X Nurse Practitioner 1016285 TX
363L00000X Nurse Practitioner 215869 LA
363L00000X Nurse Practitioner APRN9450731 FL
363L00000X Nurse Practitioner 5013683 NC
363L00000X Nurse Practitioner 810603 MS
363L00000X Nurse Practitioner A173673 IA
363L00000X Nurse Practitioner 2833 SC
363L00000X Nurse Practitioner 4005394 KY
363L00000X Nurse Practitioner 117974 WV
363LF0000X Family Nurse Practitioner Family 3-000363 AL
363L00000X Nurse Practitioner SP022300 PA
363L00000X Nurse Practitioner AP5358 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124103965 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 26, 2006
Last updatedOct 24, 2024
StatusActive
Sole proprietorNo
CredentialFNP-C
Practice address 3720 DAVINCI CT STE 400
Norcross, GA 30092
(706) 582-4462
Mailing address 408 JOY SPRINGS CT
Grovetown, GA 30813
This record was updated on Oct 24, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1124103965 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 0 3 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 0 6 9 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124103965?
NPI 1124103965 is the National Provider Identifier assigned to Dominique Pinilla, FNP-C in Norcross, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Dominique Pinilla, FNP-C?
The phone number on file with NPPES is (706) 582-4462, last updated Oct 24, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Dominique Pinilla, FNP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124103965 a valid number?
Yes. 1124103965 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.