Mary Katherine Gillingham, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.4297 APRN Issued in SC

Practice address

35 Ray E Talley CT
Simpsonville, SC 29680-6772

Phone

(864) 967-7028

Fax

(864) 228-0915

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Katherine Rabren Former name

Medicare fee-for-service enrollment

Enrolled in SC

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgillingham1151425@direct.bsmhealth.org

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.

• Bon Secours Ambulatory Services - St. Francis, LLC

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1124495643
  Medicare reassignment Care Compare group NPD
• Woodruff Road Urgent Care Center, P.C.

  • Urgent Care Clinic/Center
  • Easley, SC
  • NPI 1598073496
  NPD

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1154634061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DACUS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056008",
            "telephone_number": "864-277-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RAY E TALLEY CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806772",
            "telephone_number": "864-967-7028",
            "fax_number": "864-228-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 N Highway 81",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "29621",
            "country_code": "US",
            "telephone_number": "864-226-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLINGHAM",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SC",
            "license": "51001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.4297 APRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RABREN",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra M Gibbs, FNP
• Joshua Kaleb Gilbert
• Kimberly Gillespie
• Natasha Nicole Gilliam, PHARMD. RPH
• Robert Gil Gilliland, ATC
• Shannon E Glasow
• Lauren Bowers Glass, FNP-C
• Cecily Rose Glasso-Smith
• Erica Glauber, PTA
• Meghann Samantha Glenn, NP

• Family Nurse Practitioner in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.