Active NPI
Virginia Gilliam, PA
- Physician Assistant
- Forest City, NC
National Provider Identifier
1255424305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05727
- Practice address
- 181 Daniel Rd
Ste a
Forest City, NC 28043-7151 - Phone
- (828) 287-9504
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05727 | NC | Primary |
Addresses
Primary practice location
181 Daniel Rd
Ste a
Forest City, NC 28043-7151
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 2
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 3
10210 Couloak Dr
Ste E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Other practice location 4
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05727 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony CMHC Inc | Past | Accepting new patients | |
| Cardiology Associates of North Miami Beach PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- North Miami Beach, FL
- NPI 1487868410
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Miami Beach, FL
- NPI 1730136581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1255424305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 DANIEL RD",
"address_2": "STE A",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280437151",
"telephone_number": "828-287-9504"
}
],
"practiceLocations": [
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10210 Couloak Dr",
"address_2": "Ste E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLIAM",
"first_name": "VIRGINIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05727",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "181 Daniel Rd",
"address_2": "Ste A",
"city": "Forest City",
"state": "NC",
"country_code": "US",
"postal_code": "280437151",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.