Active NPI
Robin L Gilmore, MD
- Neurology Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12665
- Practice address
- 927 N. James Campbell Blvd.
Suite 105
Columbia, TN 38401 - Phone
- (931) 388-5114
- Fax
- (931) 388-5631
- NPI assigned
- Jan 17, 2006
- Last updated
- Jan 19, 2010
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 12665 | TN | Primary |
Addresses
Primary practice location
927 N. James Campbell Blvd.
Suite 105
Columbia, TN 38401
Mailing address
927 N. James Campbell Blvd.
Suite 105
Columbia, TN 38401
Phone (931) 388-5114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4061189 | Other | TN | BCBS OF TENNESSEE |
| 680539870 | Other | TN | TAX ID |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12665 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Neurology | Current | Accepting new patients |
| Saint Thomas Medical Partners | Current | Accepting new patients |
Locations
927 N James M Campbell Blvd
Ste 105
Columbia, TN 38401
Phone (931) 388-5114
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Neurology
-
dba Ascension Medical Group Saint Thomas
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1831179951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 N. JAMES CAMPBELL BLVD.",
"address_2": "SUITE 105",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-388-5114",
"fax_number": "931-388-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 N. JAMES CAMPBELL BLVD.",
"address_2": "SUITE 105",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-388-5114",
"fax_number": "931-388-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "ROBIN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "12665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4061189",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "680539870",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.