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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GINA DOMINGUEZ CASTILLO MD
NPI 1477248706
Pediatrics in Canton, GA

Active since April 11, 2023PECOS Enrolled
115 ACADEMY ST STE 101, CANTON, GA 30114(470) 389-4970(470) 401-1089 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2026, May 1, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Gina Dominguez Castillo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA DOMINGUEZ CASTILLO MD (NPI 1477248706) is an individual pediatrics provider in Canton, Georgia, licensed in Georgia (113630) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477248706
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGINA DOMINGUEZ CASTILLOCredential: MD
Location Address115 ACADEMY ST STE 101Canton, GA 30114-3008
Mailing Address115 Academy St Ste 101Canton, GA 30114-3008 · (470) 389-4970 · Fax (470) 401-1089
Phone(470) 389-4970
Fax(470) 401-1089
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1477248706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 113630
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
115 ACADEMY ST STE 101, Canton, GA 30114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Dominguez Castillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE L HASSEL MCNEIL MD
Pediatrics
115 ACADEMY ST STE 101
CANTON, GA 30114
Cherokee County (470) 389-4970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Dominguez Castillo's NPI number?

The NPI number for Gina Dominguez Castillo is 1477248706. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Gina Dominguez Castillo located?

Gina Dominguez Castillo practices at 115 Academy St Ste 101, Canton, GA 30114. The listed phone number is (470) 389-4970.

What is Gina Dominguez Castillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gina Dominguez Castillo enrolled in Medicare?

Yes. Gina Dominguez Castillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Dominguez Castillo was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.