Active NPI
Mitchell James Gillard, MD
- Emergency Medicine Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 64162
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-0001 - Phone
- (615) 322-5000
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 64162 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-5000
Other practice location 1
1313 21st Ave S Fl 7
Nashville, TN 37232-0001
Phone (615) 445-9718
Other practice location 2
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 875-6415
Other practice location 3
1801 N Jackson St
Tullahoma, TN 37388-2201
Phone (615) 875-6415
Other practice location 4
2835 Highway 231 N
Shelbyville, TN 37160-7327
Phone (615) 875-6415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q058122 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgillard572780@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221129000124 | TN | Practitioner - Emergency Medicine | 7517335359 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanderbilt University Medical CenterVanderbilt Integrated Providers LLC
Practice addresses (Care Compare)
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
2835 Hwy 231 N
Shelbyville, TN 37160-7327
Phone (931) 685-5433
Hospital & facility affiliations
- Vanderbilt Tullahoma-Harton Hospital
- Vanderbilt University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt Integrated Providers, LLC | Emergency Medicine | Current | Accepting new patients |
| Vanderbilt University Medical Center | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Vanderbilt Integrated Providers, LLC | Current | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500
1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404
Interoperability endpoints
- mgillard572780@direct.vumc.org
Organizations & group practices 18
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.
-
- Family Medicine Physician
- Nashville, TN
- NPI 1982625091
Emergency Medicine, TN
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Emergency Medicine, TN
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1265210843
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1164200747
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1437744828
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1891573473
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Nashville, TN
- NPI 1053449660
-
- Community/Retail Pharmacy
- Nashville, TN
- NPI 1285091330
-
- General Acute Care Hospital
- Lebanon, TN
- NPI 1306889597
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1558408633
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1639798341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "615-322-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [
{
"address_1": "1313 21st Ave S Fl 7",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-445-9718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 W Baddour Pkwy",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370872513",
"country_code": "US",
"telephone_number": "615-875-6415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 N Jackson St",
"address_purpose": "LOCATION",
"city": "Tullahoma",
"state": "TN",
"postal_code": "373882201",
"country_code": "US",
"telephone_number": "615-875-6415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2835 Highway 231 N",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "TN",
"postal_code": "371607327",
"country_code": "US",
"telephone_number": "615-875-6415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLARD",
"first_name": "MITCHELL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "64162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q058122",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgillard572780@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "1313 21st Ave S Fl 7",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.