Carol Macneal Gillies, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C 202 Issued in MD

Practice address

2772 Rutland Road
Nighttime Care Centers
Davidsonville, MD 21035

Phone

(410) 721-2273

Fax

(443) 332-4265

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cedar Health Ventures, LLC

  dba Righttime Care Centers

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1114931417
  NPD (past)
• Yardmore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1730131657
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306949607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RUXLEA CT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046401",
            "telephone_number": "410-825-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 RUTLAND ROAD",
            "address_2": "NIGHTTIME CARE CENTERS",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-721-2273",
            "fax_number": "443-332-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIES",
        "first_name": "CAROL",
        "middle_name": "MACNEAL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C 202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davidsonville Dental Group LLC
• Davidsonville Pediatrics
• Loren Dlugos
• Kim Alison Edwards, RN
• Pamela P Fahr, MN, C-FNP
• Robert G. Graw Jr., M.D.
• Jennie Hager, RDH
• Valory T. Hill, M.D.
• Maya Isaac
• Andrea Kassel, CPNP

• Surgical Physician Assistant in Davidsonville, MD
• Providers in Davidsonville, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.