Active NPI
Stephanie Y Gilliam, CNM
- Advanced Practice Midwife
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 504
- Practice address
- 1225 E Garrison Blvd
Gastonia, NC 28054-5115 - Phone
- (704) 865-7416
- Fax
- (704) 865-7232
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 504 | NC | Primary |
Addresses
Primary practice location
1225 E Garrison Blvd
Gastonia, NC 28054-5115
Mailing address
1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone (704) 865-7416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3070 11TH Ave Dr SE
Hickory, NC 28602-8336
Phone (828) 466-7196
620 Summit Crossing PL
Suite 108a
Gastonia, NC 28054-2189
Phone (704) 865-2229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Center | Past | Accepting new patients | |
| Caromont Medical Group Inc | Past | Accepting new patients |
Locations
1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311
620 Summit Crossing Pl
Ste 108A
Gastonia, NC 28054
Phone (704) 865-2229
3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196
519 Nautical Dr
Ste 100C
Clover, SC 29710
Phone (704) 865-7416
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Rheumatology Physician
- Gastonia, NC
- NPI 1811178833
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Family Medicine Physician
- Stanley, NC
- NPI 1245419845
-
- Hospitalist Physician
- Hickory, NC
- NPI 1639123979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1811243967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545115",
"telephone_number": "704-865-7416",
"fax_number": "704-865-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545115",
"telephone_number": "704-865-7416",
"fax_number": "704-865-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "STEPHANIE",
"middle_name": "Y",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.