Greydon Sean Clark Gilmore, PH.D.

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

2521 Piedmont Rd NE Apt 2325
Atlanta, GA 30324-6269

Phone

(613) 852-9282

NPI assigned

Nov 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1821812801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 PIEDMONT RD NE APT 2325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246269",
            "telephone_number": "613-852-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 PIEDMONT RD NE APT 2325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246269",
            "telephone_number": "613-852-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "GREYDON",
        "middle_name": "SEAN CLARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Gillum
• Marina V.E. Gilman, M.M., M.A. CCC-SLP
• Murray J Gilman, M.D.
• Sarah Catharine Gilmartin, PT, DPT
• Corinne Gilmer, CPNP
• James Walter Gilmore Jr., PHARMD
• Jane L Gilmore, M.D.
• Serena Nicole Gilmore
• Gean Clifford Gilot
• Carita Lynn Gilreath, RN

• Other Technician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.