Active NPI
Nicole Gillman, MD
- Nephrology Physician
- Atlanta, GA
National Provider Identifier
1609458199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 16546
- Practice address
- 101 Woodruff Cir NE Ste 338
Atlanta, GA 30322-0257 - Phone
- (404) 727-2525
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 16546 | GA | Primary |
Addresses
Primary practice location
101 Woodruff Cir NE Ste 338
Atlanta, GA 30322-0257
Mailing address
100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-0257
Phone (044) 727-5658
Other practice location 1
VCUHS Dept of Internal Medicine Residency, 980509
1250 E Marshall Street
Richmnd, VA 23298-0257
Phone (804) 828-8786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16546 | GA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1609458199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE 327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220257",
"telephone_number": "044-727-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WOODRUFF CIR NE STE 338",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220257",
"telephone_number": "404-727-2525"
}
],
"practiceLocations": [
{
"address_1": "VCUHS Dept of Internal Medicine Residency, 980509",
"address_2": "1250 E Marshall Street",
"address_purpose": "LOCATION",
"city": "Richmnd",
"state": "VA",
"postal_code": "232980257",
"country_code": "US",
"telephone_number": "804-828-8786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLMAN",
"first_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "16546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.