Patrick Grey Gillette

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-11580 Issued in NC

Practice address

9121 Anson Way Ste 200
Raleigh, NC 27615-5857

Phone

(910) 719-3315

NPI assigned

Jan 5, 2021

Sex

Male

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 NC

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wendell Psychiatry, PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1427867084

  NC

  Medicare reassignment Authorized official
• North Carolina Neuropsychiatry, P.a.

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1265403042

  NC

  Medicare reassignment
• North Carolina Neuropsychiatry, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1003432121
  NPD (past)
• North Carolina Therapy Professionals, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386393775
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1083202147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ANSON WAY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155857",
            "telephone_number": "910-719-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 ANSON WAY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155857",
            "telephone_number": "910-719-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "PATRICK",
        "middle_name": "GREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gilleland
• Julie Gillen, LCSW
• Donald Lee Gillespie Jr., R.PH.
• Natalie Gillespie, RN
• Phylicia Nikole Gillespie
• Madison Gilliam-Copas
• Abigail Grace Gillis, LCSWA
• Katherine Anne Gillis, PA-C
• Alesia Perkins Gilmore, MS, LCMHC, LPC
• Katherine Ann Gilmore, PNP-PC

• All providers in Raleigh, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.