Mary Gillmor-Kahn, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN043355 Issued in GA

Practice address

80 Jesse Hill Jr Dr SE # 26105
Grady Health System, GYN/OB Clinic
Atlanta, GA 30303-3031

Phone

(404) 616-4898

Fax

(404) 616-2904

NPI assigned

Sep 26, 2006

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

Other identifiers 3

Other names 1

• Mickey Gillmor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679674337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "address_2": "EMORY UNIVERSITY GYN/OB DEPT. 4TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE # 26105",
            "address_2": "GRADY HEALTH SYSTEM, GYN/OB CLINIC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMOR-KAHN",
        "first_name": "MARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN043355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER-CNM",
            "identifier": "RN043355",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507779A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION NUMBER",
            "identifier": "4921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKEY",
            "last_name": "GILLMOR",
            "credential": "CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dana S Gillis, PT
• Danny Gillis, M.D.
• Jennifer Gillis, MD
• McKenzie Gillison
• Nicole Gillman, MD
• Jason Thomas Gillon, MD
• Victoria Aranda Gillum, PA
• Zachary Gillum
• Marina V.E. Gilman, M.M., M.A. CCC-SLP
• Murray J Gilman, M.D.

• Advanced Practice Midwife in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.