Merri Beth Gilliam CRNP, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1-073255 Issued in AL

Legal business name

MERRI BETH GILLIAM CRNP, PC

Practice address

707 US Highway 31 S
Suite D
Athens, AL 35611-3619

Phone

(256) 233-0712

Fax

(256) 233-3535

NPI assigned

Apr 14, 2010

Last updated

May 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Merri Beth Gilliam, CRNP

Title

CRNP / Owner

Phone

(256) 233-0712

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audri McBay Ragasa, CRNP

  • Pediatric Nurse Practitioner
  • Athens, AL
  • NPI 1760760235
  NPD (past)

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273276800000",
    "number": "1629394705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1735",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356126735",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 31 S",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113619",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRI BETH GILLIAM CRNP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-05-08",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "MERRI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CRNP / OWNER",
        "authorized_official_telephone_number": "256-233-0712",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "1-073255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891017564",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Athens, AL
• Providers in Athens, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; 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.