Active NPI
Julie Kay Gilliam, NP
- Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN0000022506
- Practice address
- 411 Princeton Rd
Suite 101
Johnson City, TN 37601-2049 - Phone
- (423) 461-0021
- NPI assigned
- Apr 26, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22506 | TN | |
| Nurse Practitioner | 363L00000X | APN0000022506 | TN | Primary |
Addresses
Primary practice location
411 Princeton Rd
Suite 101
Johnson City, TN 37601-2049
Mailing address
390 Ducktown Rd
Limestone, TN 37681-2039
Phone (423) 747-6211
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724001165 | TN | Practitioner - Nurse Practitioner | 3577836162 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Oncology PLLC
Practice addresses (Care Compare)
378 Marketplace Blvd
Suite 6
Johnson City, TN 37604-2361
Phone (423) 656-0716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000022506 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Primary Care | Current | Accepting new patients | |
| Imperial Pain Specialists Inc | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Quality of Life Healthcare Inc. | Current | Accepting new patients | |
| Tennessee Oncology,PLLC | Past | Accepting new patients | |
| Tennessee Oncology,PLLC | Past | Accepting new patients | |
| Tennessee Oncology, PLLC | Past | Accepting new patients | |
| Circe Medical Services LLC | Past | Accepting new patients |
Locations
138 Industrial Dr
Elizabethton, TN 37643
Phone (423) 542-7007
4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387
302 Wesley St
Ste 3
Johnson City, TN 37601
Phone (423) 202-3772
378 Marketplace Blvd
Ste 6
Johnson City, TN 37604
Phone (423) 568-8320
411 Princeton Rd
Ste 101
Johnson City, TN 37601
Phone (423) 282-1171
1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481
Organizations & group practices 14
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.
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1194862573
-
- Prosthetic/Orthotic Supplier
- Nashville, TN
- NPI 1306894399
-
- Community/Retail Pharmacy
- Nashville, TN
- NPI 1669519849
-
- Durable Medical Equipment & Medical Supplies
- Mt Juliet, TN
- NPI 1730130436
-
- Community/Retail Pharmacy
- Johnson City, TN
- NPI 1922814730
-
- Pain Medicine Physician
- Johnson City, TN
- NPI 1518407279
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1023066149
-
- General Practice Physician
- Johnson City, TN
- NPI 1639447303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1780119875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 DUCKTOWN RD",
"city": "LIMESTONE",
"state": "TN",
"postal_code": "376812039",
"telephone_number": "423-747-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PRINCETON RD",
"address_2": "SUITE 101",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012049",
"telephone_number": "423-461-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "JULIE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "22506",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000022506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.