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ANGELAN GOMILLION NNP-BC
NPI 1952707028
Nurse Practitioner in Camden, SC

Active since November 17, 2014PECOS Enrolled
1315 ROBERTS ST, CAMDEN, SC 29020(803) 432-4311 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angelan Gomillion Nnp-bc NPPES

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

ANGELAN GOMILLION NNP-BC (NPI 1952707028) is an individual nurse practitioner in Camden, South Carolina, licensed in South Carolina (28037) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952707028
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANGELAN GOMILLIONCredential: NNP-BC
Location Address1315 ROBERTS STCamden, SC 29020-3737
Mailing AddressPo Box 23321New York, NY 10087-4321
Phone(803) 432-4311
Sole ProprietorNo
Enumeration DateNovember 17, 2014
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1952707028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 28037
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 28037 (SC)
1315 ROBERTS ST, Camden, SC 29020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelan Gomillion Nnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Angelan Gomillion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Musc Community Physicians
70 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29020 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

ANTHONY J. ARMSTRONG MD
Obstetrics & Gynecology (Gynecology)
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
KERSHAWHEALTH
Clinic/Center (Emergency Care)
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 713-6376
KERSHAW ANESTHESIA, LLC
Anesthesiology
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 310-6282
DEAN M KOT PA-C
Physician Assistant (Medical)
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Community/Behavioral Health
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
DR. LORONE COWAYNE WASHINGTON MD
Emergency Medicine
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
LOW COUNTRY PHYSICIANS GROUP, LLC
Emergency Medicine
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
LINDA GEORGE VAN DAM CRNA
Nurse Anesthetist, Certified Registered
1315 ROBERTS ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311

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 Angelan Gomillion's NPI number?

The NPI number for Angelan Gomillion is 1952707028. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Angelan Gomillion located?

Angelan Gomillion practices at 1315 Roberts St, Camden, SC 29020. The listed phone number is (803) 432-4311.

What is Angelan Gomillion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Angelan Gomillion enrolled in Medicare?

Yes. Angelan Gomillion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelan Gomillion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelan Gomillion reassigns Medicare benefits to Musc Community Physicians (Bamberg, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelan Gomillion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelan Gomillion accept?

Health plans from UnitedHealthcare list Angelan Gomillion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelan Gomillion was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.