Active NPI
Gillie Aesthetics and Dermatology, PLC
- Dermatology Physician
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GILLIE AESTHETICS AND DERMATOLOGY, PLC
- Practice address
- 1602 W Northfield Blvd Ste 300
Murfreesboro, TN 37129-1744 - Phone
- (615) 801-7674
- Fax
- (615) 281-3356
- NPI assigned
- May 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gillian H Choate, APRN
- Title
- Owner and Nurse Practitioner
- Phone
- (615) 218-2434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1602 W Northfield Blvd Ste 300
Murfreesboro, TN 37129-1744
Mailing address
1602 W Northfield Blvd Ste 300
Murfreesboro, TN 37129-1744
Phone (615) 801-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2281802 | Gillie Aesthetics and Dermatology, PLC | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
1602 W Northfield Blvd
Ste 300
Murfreesboro, TN 37129
Phone (615) 801-7674
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Murfreesboro, TN
- NPI 1124354162
-
- Physician Assistant
- Franklin, TN
- NPI 1932834868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1306537808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W NORTHFIELD BLVD STE 300",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291744",
"telephone_number": "615-801-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W NORTHFIELD BLVD STE 300",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291744",
"telephone_number": "615-801-7674",
"fax_number": "615-281-3356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLIE AESTHETICS AND DERMATOLOGY, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-16",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "CHOATE",
"authorized_official_first_name": "GILLIAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER AND NURSE PRACTITIONER",
"authorized_official_telephone_number": "615-218-2434",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.