Darrell Jon Gililland Jr., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1834 Issued in AL

Practice address

Samford Univeristy
800 Lakeshore Drive
Birmingham, AL 35229-0001

Phone

(205) 726-4328

NPI assigned

Jul 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1386086189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 ROYAL KNOLL LN",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263023",
            "telephone_number": "325-829-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAMFORD UNIVERISTY",
            "address_2": "800 LAKESHORE DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352290001",
            "telephone_number": "205-726-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILILLAND",
        "first_name": "DARRELL",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1982",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Hamilton Gilchrist, RN, MSN, CRNP
• Sarah Stuedeman Gilchrist, OTR, MOT
• Helen Gilder Johnson
• Kathryn Giles
• Willie L Gilford Jr., MD
• Gill Reynolds-Pridgett
• Billy Ryan Gill, PT, DPT
• Bradley Gill, DDS
• Gobind Singh Gill, MD
• Roger L Gill, DMD

• Athletic Trainer in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.