Individual provider Active NPI

Robin L Gilmore, MD

  • Neurology Physician
  • Columbia, TN
National Provider Identifier
1831179951
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12665 Issued in TN
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4061189OtherTNBCBS OF TENNESSEE
680539870OtherTNTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000679 TN Practitioner - Neurology 7810183597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12665TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Neurology CurrentSince Mar 1, 2011 Accepting new patients
Saint Thomas Medical Partners CurrentSince Mar 1, 2011 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.