Individual provider Active NPI

Teresa Michelle Gilliland, FNP-C

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1255799540
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204365 Issued in MD
Practice address
201 Pine Bluff Rd Ste 28
Salisbury, MD 21801-7163
Phone
(410) 742-5599
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R204365 MD
Family Nurse Practitioner 363LF0000X R204365 MD Primary

Addresses

Primary practice location

201 Pine Bluff Rd Ste 28
Salisbury, MD 21801-7163

Mailing address

201 Pine Bluff Rd Ste 28
Salisbury, MD 21801-7163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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

Enrollment IDStateProvider typePAC IDDetails
I20160303002135 MD Practitioner - Nurse Practitioner 8325344112 Reassigns benefits to 1 organization
I20210216002077 DE Practitioner - Nurse Practitioner 8325344112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Allergy and Asthma Associates PAGroup PAC ID 8921996380, 6 clinicians

Practice addresses (Care Compare)

20099 Office Cir
Georgetown, DE 19947-3196

20099 Office Circle
Suite 208
Georgetown, DE 19947-3196

201 Pine Bluff Rd
Suite 28
Salisbury, MD 21801-7163
Phone (410) 742-5599

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R204365MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Allergy & Asthma Associates P a CurrentSince Jan 11, 2021 Accepting new patients
Atlantic General Hospital Corporation Past Accepting new patients

Locations

20099 Office Cir
Ste 208
Georgetown, DE 19947
Phone (302) 856-1773

201 Pine Bluff Rd
Ste 28
Salisbury, MD 21801
Phone (410) 742-5599

201 Pine Bluff Rd
Salisbury, MD 21801

Interoperability endpoints

  • Direct secure messaging: teresagilliland@agh.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHEABA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1255799540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD STE 28",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD STE 28",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-742-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R204365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.