Individual provider Active NPI

Jai H Gilliam, M.D.

  • Internal Medicine Physician
  • Nicholasville, KY
National Provider Identifier
1558404343
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39604 Issued in KY
Practice address
100 Providence Way
Suite 200
Nicholasville, KY 40356-6031
Phone
(859) 260-5370
Fax
(859) 260-5379
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39604 KY
Internal Medicine Physician 207R00000X 39604 KY Primary

Addresses

Primary practice location

100 Providence Way
Suite 200
Nicholasville, KY 40356-6031

Mailing address

PO Box 910670
Lexington, KY 40591-0670
Phone (859) 971-4685

Other identifiers 1

IdentifierTypeStateIssuer
64111156MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgilliam6912@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20051011000494 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1850316639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

100 Providence Way
Suite 200
Nicholasville, KY 40356-6033
Phone (859) 260-5370

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Lexington, KY, CCN 187104
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Associated Physician Services of Lexington, LLC Internal Medicine Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

2101 Nicholasville Rd
Ste 204
Lexington, KY 40503
Phone (859) 260-4330

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 253-4900

100 Providence Way
Nicholasville, KY 40356
Phone (859) 260-4320

100 Providence Way
Ste 200
Nicholasville, KY 40356
Phone (859) 260-5370

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1558404343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910670",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910670",
            "telephone_number": "859-971-4685",
            "fax_number": "859-971-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE WAY",
            "address_2": "SUITE 200",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566031",
            "telephone_number": "859-260-5370",
            "fax_number": "859-260-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "JAI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "39604",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64111156",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgilliam6912@bhkydirect.com",
            "affiliation": "N",
            "address_1": "100 Providence Way",
            "address_2": "Suite 200",
            "city": "Nicholasville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403566031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.