Kevin Robert Gilliam

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN252629 Issued in GA

Practice address

5901-B Peachtree Dunwoody Road
Atlanta, GA 30328-7156

Phone

(404) 252-9751

Fax

(404) 255-5783

NPI assigned

Aug 28, 2016

Sex

Male

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

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 and National Provider Directory roles.

• Neonatology Associates of Atlanta, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Atlanta, GA
  • NPI 1194822809
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1548716806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901-B PEACHTREE DUNWOODY ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901-B PEACHTREE DUNWOODY ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287156",
            "telephone_number": "404-252-9751",
            "fax_number": "404-255-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN252629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joylayne Malone Gilli, APRN, FNP-C
• Kevin Anthony Gilli, CAA
• Marcel Gilli, AA
• Jessica Marie Gilliam, M.D.
• Katia Monteiro Gilliam, LPC
• Mary Gilliam, CRNA
• Nakia Charrone Gilliam, FNP
• Sydney Gillice
• Meredith Gillig, PNP
• Jennifer Lyn Gilligan, M.D., PH.D.

• Neonatal Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.