Gary Wayne Gilliam, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172696 Issued in VA

Practice address

17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937

Phone

(276) 467-2201

Fax

(276) 467-2673

NPI assigned

Jul 1, 2015

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 VA

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, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Clinch River Health Services IncGroup PAC ID 6709835002, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.gilliam@crhs.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IAHCAA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Clinch River Health Services Inc

  dba Clinch River Health Services

  • Federally Qualified Health Center (FQHC)
  • Dungannon, VA
  • NPI 1558653741

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Clinch River Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dungannon, VA
  • NPI 1508845389

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Clinch River Health Services Inc

  dba Clinch River Health Services

  • Federally Qualified Health Center (FQHC)
  • Dungannon, VA
  • NPI 1558653741
  Medicare reassignment Care Compare group NPD Authorized official
• Clinch River Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dungannon, VA
  • NPI 1508845389
  NPD Authorized official
• Clinch River Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dungannon, VA
  • NPI 1629860275
  Authorized official Same address or phone

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1154704708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17285 VETERANS MEMORIAL HWY",
            "city": "DUNGANNON",
            "state": "VA",
            "postal_code": "242453937",
            "telephone_number": "276-467-2201",
            "fax_number": "276-467-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17285 VETERANS MEMORIAL HWY",
            "city": "DUNGANNON",
            "state": "VA",
            "postal_code": "242453937",
            "telephone_number": "276-467-2201",
            "fax_number": "276-467-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinch River Health Services, Inc.
• Clinch River Health Services, Inc.
• Robert Dockery, PHARMD
• Meagan B Evans
• Family Preservation Services, Inc
• Cassie Marie Gouge, FNP-BC
• Sutton Hess, FNP-C
• Hannah N McNew, LCSW
• Julie Marie Meade, FNP
• Karen Odle, LPC

• Family Nurse Practitioner in Dungannon, VA
• Providers in Dungannon, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.