Jamie Gillis, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001923 Issued in GA

Practice address

900 Towe Lake Parkway
Suite 400
Woodstock, GA 30189

Phone

(770) 924-5095

Fax

(770) 924-7429

NPI assigned

Nov 3, 2006

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Atlanta Pulmonary Group, LLC

  • Pulmonary Disease Physician
  • Atlanta, GA
  • NPI 1326128562
  NPD (past)
• Critical Care Atlanta, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1407012586
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1841379476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TOWE LAKE PARKWAY",
            "address_2": "SUITE 400",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-924-5095",
            "fax_number": "770-924-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TOWE LAKE PARKWAY",
            "address_2": "SUITE 400",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-924-5095",
            "fax_number": "770-924-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JAMIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "001923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Michelle Gibbs, LMSW
• Meagan Gibbs, MA
• Elijah Nicholas Gilbert, M.D.
• Zana Panchana Giler, RBT
• Katherine Rebecca Gilliam, MOT, OTR/L
• Lili D Gipson, D.C.
• Jodi Giuliano, LAPC, NCC
• Alondra Givers, MA, APC, NCC
• Michelle Wrayanne Glaze Parker, LPC
• Kimberley Glenn, PA

• Medical Physician Assistant in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.