Cassandra Gilliam

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

RN171251 Issued in GA

Legal business name

CASSANDRA GILLIAM

Practice address

450 Winn Way
Decatur, GA 30030-1715

Phone

(404) 294-0499

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cassandra Shea Gilliam, RN

Title

RN

Phone

(404) 294-0499

Specialties & licenses 1

Addresses

Other names 1

• none Other name

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760609895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 EDEN GLEN DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135813",
            "telephone_number": "770-679-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301715",
            "telephone_number": "404-294-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA GILLIAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "404-294-0499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "GA",
            "license": "RN171251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• J Casarella, MD
• Jessica Anna Cash, OTR/L
• Michelle Casimir, PSYD
• Cassandra G. Brackett, D.D.S.,P.C.
• Cassandra G. Brackett, D.D.S.,P.C.
• Lisa Suzanne Cassani, M.D.
• Megan Lucia Cassidy, DPT
• Arefa Moosajee Cassoobhoy, M.D.
• Craig John Castanet, D.C.
• Jocelyn Castellano, NP

• Mental Illness Intermediate Care Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Illness Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.