Individual provider Active NPI

Julie Kay Gilliam, NP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1780119875
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000022506 Issued in TN
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

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 355 clinicians

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

LicenseStateTypeSpecialty
APN0000022506TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Primary Care CurrentSince Jun 21, 2023 Accepting new patients
Imperial Pain Specialists Inc Current Accepting new patients
Tennessee Oncology PLLC CurrentSince Apr 26, 2025 Accepting new patients
Tennessee Oncology PLLC CurrentSince Apr 26, 2025 Accepting new patients
Quality of Life Healthcare Inc. CurrentSince Jun 22, 2023 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.

View all 14

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

Verify at the official NPI Registry.