Elisabeth Ann Gilliard, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9103964 Issued in FL

Practice address

1590 S Sr 15a # 100
Deland, FL 32720-7817

Phone

(386) 774-0016

Fax

(386) 774-0606

NPI assigned

Jul 12, 2007

Last updated

Nov 3, 2019By the provider in NPPES

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJGIBD

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.

• PCCC of Volusia LLC

  • Pulmonary Disease Physician
  • New Smyrna Beach, FL
  • NPI 1285685370
  Medicare reassignment
• Pulmonary Practice Associates MD PA

  • Pulmonary Disease Physician
  • Orange City, FL
  • NPI 1114929643
  Medicare reassignment
• West Volusia Family and Sports Medicine Inc

  • Family Medicine Physician
  • Deland, FL
  • NPI 1548584600
  NPD

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1609075423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S SR 15A # 100",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207817",
            "telephone_number": "386-774-0016",
            "fax_number": "386-774-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S SR 15A # 100",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207817",
            "telephone_number": "386-774-0016",
            "fax_number": "386-774-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIARD",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylor Scott Gibson, RBT
• Melissa Gideons
• Lacey Gillen
• Tom Gillespie
• Kristen Suzanne Gillespy, PA
• Lawrence M Gilliard, M.D.
• Robert G Gilliland, D.C.
• Katherine Glancy, MSW
• Samuel Glaubiger, M.D.
• Angella M. Glidden-Wood, M.D.

• Medical Physician Assistant in Deland, FL
• Providers in Deland, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.