Individual provider Active NPI

Kanesha Monique Gillyard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1487140950
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001437 Issued in GA
Practice address
70 Knells Ridge Blvd
Chesapeake, VA 23320-6607
Phone
(757) 722-9961
Fax
(757) 251-5262
NPI assigned
Jul 7, 2018
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301453 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 344261 LA
Foot & Ankle Surgery Podiatrist 213ES0103X 692102 TX
Foot & Ankle Surgery Podiatrist 213ES0103X POD001437 GA Primary

Addresses

Primary practice location

70 Knells Ridge Blvd
Chesapeake, VA 23320-6607

Mailing address

70 Knells Ridge Blvd
Chesapeake, VA 23320-6607
Phone (757) 722-9961

Other practice location 1

211 Allure Ln Apt 3203
Chesapeake, VA 23322-2526
Phone (804) 812-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210608001684 GA Practitioner - Podiatry 4880094184 Reassigns benefits to 1 organization
I20241210003659 LA Practitioner - Podiatry 4880094184 Reassigns benefits to 1 organization
I20251106000122 VA Practitioner - Podiatry 4880094184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Podiatry PLLCGroup PAC ID 1951448711, 8 clinicians

Practice addresses (Care Compare)

1300 Enterprise Dr
Lynchburg, VA 24502-5746
Phone (718) 972-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue492
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001437GAMDFoot & Ankle Surgery Podiatrist
344261LAMDFoot & Ankle Surgery Podiatrist
692102TXMDFoot & Ankle Surgery Podiatrist
0103301453VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saving Soles PLLC Multi-Specialty Current Accepting new patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince Jul 12, 2021 Accepting new patients
Eastern Podiatry PLLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Aria Podiatry Care PLLC Multi-Specialty CurrentSince Oct 21, 2024 Accepting new patients
Eastern Podiatry PLLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Multi-Specialty Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Multi-Specialty CurrentSince Jul 12, 2021 Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Multi-Specialty Current Accepting new patients
Aria Dental Care PC Multi-Specialty Past Accepting new patients

Locations

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

1902 Grace St
Lynchburg, VA 24504
Phone (434) 200-5100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1487140950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KNELLS RIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206607",
            "telephone_number": "757-722-9961",
            "fax_number": "757-251-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KNELLS RIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206607",
            "telephone_number": "757-722-9961",
            "fax_number": "757-251-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Allure Ln Apt 3203",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233222526",
            "country_code": "US",
            "telephone_number": "804-812-5578",
            "fax_number": "844-691-1691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLYARD",
        "first_name": "KANESHA",
        "middle_name": "MONIQUE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301453",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "344261",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692102",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.