Theresa Lynn Harvey-Gilliard, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN304622 Issued in GA

Practice address

4803 Carlene Way SW
Lilburn, GA 30047-4705

Phone

(267) 586-1545

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1598061293
  Medicare reassignment Care Compare group NPD
• VPS of Mi PLLC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1164873691

  GA

  Medicare reassignment NPD
• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1205130911
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1073870960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CARLENE WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474705",
            "telephone_number": "267-586-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CARLENE WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474705",
            "telephone_number": "267-586-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY-GILLIARD",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN304622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hardy
• Brandy Mack Harris, CCC-SLP
• Tamara Marie Harris, PA-C
• Justin Harrison
• Harvey J. Schecter, D.O., P.C. Dba Total Care
• Aeryka Miche'Le Harvey, MPH, OMS4, CD
• Thaddeus Harvey Jr., DDS
• Aimon Hazari, OD
• Melodie Anne (Or Desanto) Head
• Hear Better Holdings of Gwinnett

• Family Nurse Practitioner in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.