Individual provider Active NPI

George Stephen Gilliam, M.D.

  • Specialist
  • Rockport, IN
National Provider Identifier
1023016912
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22817 Issued in KY
Practice address
1276 N Plaza Dr
Rockport, IN 47635-9028
Phone
(812) 649-2500
Fax
(812) 492-6498
NPI assigned
Jul 13, 2005
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22817 KY Primary
Surgery Physician 208600000X 41068 KY

Addresses

Primary practice location

1276 N Plaza Dr
Rockport, IN 47635-9028

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 4

IdentifierTypeStateIssuer
611303681OtherKYCOMMERCIAL INSURANCE
100329260BMedicaidIN
64228174MedicaidKY
000000051542OtherKYBS OF KY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080716000364 IN Practitioner - General Surgery 2466452461 Reassigns benefits to 1 organization
I20130409000637 KY Practitioner - General Surgery 2466452461 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breckinridge Health, Inc.Group PAC ID 0941106454, 14 clinicians
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Practice addresses (Care Compare)

1011 Old Hwy 60
Hardinsburg, KY 40143-2519
Phone (270) 756-7000

1276 N Plaza Dr
Rockport, IN 47635-9028
Phone (812) 649-2500

214 Main St
Cadiz, KY 42211-9153
Phone (270) 522-0898

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (270) 691-9697

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux20
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41068KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breckinridge Health, Inc CurrentSince Sep 23, 2020 Accepting new patients
Ohio County Hospital Corporation Surgery CurrentSince Apr 6, 2015 Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 6, 2015 Accepting new patients
Trigg County Hospital, Inc Surgery CurrentSince Jul 7, 2021 Accepting new patients
Trigg County Hospital, Inc CurrentSince Jul 7, 2021 Accepting new patients
Breckinridge Health Inc Specialist CurrentSince Sep 23, 2020 Accepting new patients
Breckinridge Health Inc CurrentSince Sep 23, 2020 Accepting new patients
Summit Medical Specialists PSC Past Accepting new patients

Locations

1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1023016912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PLAZA DR",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359028",
            "telephone_number": "812-649-2500",
            "fax_number": "812-492-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "GEORGE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "22817",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "41068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "611303681",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100329260B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64228174",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF KY",
            "identifier": "000000051542",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

Verify at the official NPI Registry.