Active NPI
Matthew Don Gillihan, MD
- Otolaryngology Physician
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2022-02773
- Practice address
- 1107 Reynolds St
Monroe, NC 28112-4351 - Phone
- (704) 752-7575
- Fax
- (704) 752-7576
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2002-0453 | NM | |
| Otolaryngology Physician | 207Y00000X | 2022-02773 | NC | Primary |
Addresses
Primary practice location
1107 Reynolds St
Monroe, NC 28112-4351
Mailing address
1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Saint Louis University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7666 Charlotte Hwy
Suite 220
Indian Land, SC 29707-0004
Phone (704) 752-7575
8035 Providence Rd
Suite 320
Charlotte, NC 28277-8910
Phone (704) 752-7575
Hospital & facility affiliations
- Atrium Health Union
- Carolinas Medical Center/Behav Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02773 | NC | MD | Otolaryngology Physician |
| 2002-0453 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Ear Nose & Throat PA | Current | Accepting new patients | |
| Cornerstone Ear Nose & Throat PA | Otolaryngology | Current | Accepting new patients |
| Familycare Associates,PA | Past | Accepting new patients | |
| Limestone Surgery Center LLC | Past | Accepting new patients |
Locations
8035 Providence Rd
Ste 320
Charlotte, NC 28277
Phone (704) 752-7575
1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220
7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Indian Land, SC
- NPI 1932800745
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
-
- Ambulatory Surgical Clinic/Center
- Gainesville, GA
- NPI 1407188659
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1730137290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 REYNOLDS ST",
"city": "MONROE",
"state": "NC",
"postal_code": "281124351",
"telephone_number": "704-752-7575",
"fax_number": "704-752-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 REYNOLDS ST",
"city": "MONROE",
"state": "NC",
"postal_code": "281124351",
"telephone_number": "704-752-7575",
"fax_number": "704-752-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIHAN",
"first_name": "MATTHEW",
"middle_name": "DON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "2002-0453",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "2022-02773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.