Individual provider Active NPI

Thomas Michael Gills, MS, CCHS, RPSGT, RST

  • Health Educator
  • Barboursville, WV
National Provider Identifier
1104104827
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
103
Practice address
6171 Childers Rd
Barboursville, WV 25504
Phone
(304) 733-5380
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 103 Primary

Addresses

Primary practice location

6171 Childers Rd
Barboursville, WV 25504

Mailing address

5548 Tarpin RDG
Catlettsburg, KY 41129-9773
Phone (606) 928-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Stultz Sleep Study Services PastSince Aug 8, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1104104827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 TARPIN RDG",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411299773",
            "telephone_number": "606-928-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 CHILDERS RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MS, CCHS, RPSGT, RST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.