Kim J Gilmore, CNS, NP, DNP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN190459 Issued in GA

Practice address

1218 Miller Ave
Columbia, SC 29203-6417

Phone

(803) 497-9611

Fax

(803) 764-2003

NPI assigned

Sep 19, 2007

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omega Psychiatric SolutionsGroup PAC ID 6901138619, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kim.gilmore.p1@direct.ncfmc.nextgenshare.com

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.

• Omega Psychiatric Solutions

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1154892099
  Medicare reassignment Care Compare group NPD Authorized official
• CH Specialty Services SC LLC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1275915522
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Patrick B Harris Psychiatric Hospital

  • Psychiatric Hospital
  • Anderson, SC
  • NPI 1376595041
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Charleston Dorchester Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, SC
  • NPI 1760596480
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba C M Tucker/Roddey Pavilion

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1205888260
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Earle E Morris Jr Alcohol & Drug Addiction Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Columbia, SC
  • NPI 1295787869
  NPD
• Carolina Counseling and Wellness

  • Counseling Psychologist
  • Columbia, SC
  • NPI 1821255050
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1184810665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PETER SEYMORE RD",
            "city": "GADSDEN",
            "state": "SC",
            "postal_code": "290529593",
            "telephone_number": "803-360-1821",
            "fax_number": "803-353-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 MILLER AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036417",
            "telephone_number": "803-497-9611",
            "fax_number": "803-764-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Peter Seymore Rd",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "SC",
            "postal_code": "290529593",
            "country_code": "US",
            "telephone_number": "803-360-1821",
            "fax_number": "803-353-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KIM",
        "middle_name": "J",
        "credential": "CNS, NP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "A932",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "SC",
            "license": "APMH932",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN190459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0203",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Edens Gilligan, CRNA
• Misty Burnett Gilliland, APRN
• Jennifer O Gillis, NP-C
• Jenifer Gilman, RBT
• Brittney Nicole Gilmore
• Kimeko Mercedes Gilmore
• Kyndra C Gilmore
• Tyonna Gilmore
• Veronique Gilmore, MA, LPC
• Erica Gilyard, B.S., M.H.A.

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.