Heather Nicoe Gilliam, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2830 Issued in TN

Practice address

910 Blackford Street
Chattanooga, TN 37403

Phone

(423) 778-6107

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Nicoe Capps Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Chattanooga Hamilton County Hospital Authority

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931

  Pediatrics

  Medicare reassignment NPD
• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303

  Pediatrics

  Medicare reassignment NPD
• Chattanooga Hamilton County Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Pikeville, TN
  • NPI 1073622007
  NPD
• Erlanger Health

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1740073329
  NPD
• Chattanooga Hamilton County Hospital Authority

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1639264575
  NPD (past)
• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  NPD (past)
• Erlanger Health

  • Internal Medicine Physician
  • Ringgold, GA
  • NPI 1871295709

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1760740716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BLACKFORD STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-778-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BLACKFORD STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-778-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "HEATHER",
        "middle_name": "NICOE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CAPPS",
            "middle_name": "NICOE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quinisha Aryanna Gilbert
• Cassandra Rene Giles
• Kloey Giles, BCBA
• Wesley Heath Giles, MD
• John D Gillahan, M.ED.
• Ryan S Gilliand, PA-C
• Katherine Anne Gilliard, LPC-MHSP
• Mary Lisa Gilliland, FNP-C
• Misty Gilliland, FNP
• Kimberly Lee Gillum

• Pediatrics Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.