Robert Lee Gilliam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15599 Issued in AL

Practice address

1412 Elba Hwy
Troy, AL 36079-6020

Phone

(334) 566-8822

NPI assigned

Aug 9, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.gilliam@sarha.eclinicaldirectplus.com

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.

• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment Care Compare group NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Dothan, AL
  • NPI 1194087593
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Troy, AL
  • NPI 1043220585
  NPD (past)
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Dozier, AL
  • NPI 1063573301
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1164432308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-566-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051046137",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631802004",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Faulkner Garrett, BCBA
• Daniel Kelly Garrett, LMT, LPTA
• Rachel K Garrett
• Olivia Jo Giddens
• Satinderjit S Gill, M.D.
• Jacque Glenn, RN
• Shannon Russell Godsave, CRNP
• Lakeisha E Goshea, ALC
• Alyson Gramley, ATC
• Alexis Gramling, LMSW

• Family Medicine Physician in Troy, AL
• Providers in Troy, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.