Individual provider Active NPI

Lillian Nicole Beaird-Gaines, M.D.

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1316977150
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028820 Issued in TN
Practice address
601 Benton Ave
Nashville, TN 37204-2303
Phone
(615) 292-9770
Fax
(615) 292-9706
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028820 TN Primary
Pediatrics Physician 208000000X 028820 TN

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204-2303

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770

Other identifiers 2

IdentifierTypeStateIssuer
103I064694OtherTNMEDICARE - INDIVIDUAL
3824953MedicaidTN

Other names 1

  • Lillian N Sailors Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000116 TN Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1759344310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028820TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Health Services, Inc CurrentSince Dec 1, 2010 Accepting new patients

Locations

601 Benton Ave
Nashville, TN 37204
Phone (615) 292-9770

Interoperability endpoints

  • Direct secure messaging: lillianbeairdgaines@uchsi.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1316977150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-292-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-292-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRD-GAINES",
        "first_name": "LILLIAN",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "028820",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "028820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - INDIVIDUAL",
            "identifier": "103I064694",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3824953",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "SAILORS",
            "middle_name": "N",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.