Mary Alice Gillingham, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN107620 Issued in GA

Practice address

1915 Eisenhower Dr
Savannah, GA 31406-5027

Phone

(912) 356-2011

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

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, MA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Northrop Connection, LLCGroup PAC ID 6800104506, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Northrop Connection, LLC

  • Clinical Social Worker
  • Dallas, GA
  • NPI 1912398868

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Uhs of Fuller Inc

  • Psychiatric Hospital
  • S Attleboro, MA
  • NPI 1316917222

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Stable Steps Your Behavior and Mental Health Provider LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Savannah, GA
  • NPI 1518754860
  NPD Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1154817906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CHOWNING DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199534",
            "telephone_number": "912-661-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065027",
            "telephone_number": "912-356-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLINGHAM",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN107620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Gill, M.D.
• Deja Jordan Gillans
• Lilla Gillen
• Colin Reid Gilligan, AA
• Amberly Gilliland
• Rachel Veronica Gilmore, P.A.A.
• Raymond Curtis Gilreath Jr., LPC, LMFT
• Destiny Ginn
• Douglas Joseph Giorgio, DDS
• Tatyana Givens

• Psychiatric/Mental Health Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.