Blair Taylor Gilliland, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-114364 Issued in AL

Practice address

44 Aliant Pkwy
Alexander City, AL 35010-3426

Phone

(256) 234-4131

Fax

(256) 234-9979

NPI assigned

Jan 14, 2014

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 1

Other names 1

• Elizabeth Blair Taylor Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

3 KBD LLCGroup PAC ID 0749754729, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Troy, AL, CCN 017324
• Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blair.gilliland.1@11536.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11536/brand/1/csg/1/fhir/r4

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.

• Pricare, PA

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1427154723
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• 3 KBD,LLC

  dba Pricare

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1609725647
  NPD Authorized official
• Pricare Advantage LLC

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1386564235
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Health Home Health of Alabama, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Troy, AL
  • NPI 1366904161
  Care Compare affiliation
• Russell Hospital Corporation

  dba Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1699197442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "address_2": "44 ALIANT PARKWAY",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350110789",
            "telephone_number": "256-234-4131",
            "fax_number": "256-234-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ALIANT PKWY",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103426",
            "telephone_number": "256-234-4131",
            "fax_number": "256-234-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "BLAIR",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-114364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-114364",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TAYLOR",
            "middle_name": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen McDaniel Fuller, CRNA
• Lara Garrard, PHARM D
• Tiffany Dean Garrett, LMT
• Mark Edward Gayheart, RPH
• Louise Roach Geary, M.D.
• Destiny Anastasia Goble, LMT, CEMFT
• Michele Goldhagen, MD
• Paige Gordon, CRNP
• Carolyn Delaine Goss, SA-C, ST-C
• Grace on Grace

• Family Nurse Practitioner in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.