Courtney Simpson Gilliland, CRNP
Individual provider Active NPI Family Nurse Practitioner · Irondale, AL
NPI 1851779433 · NPPES record last updated May 14, 2015
Key facts
- NPI
- 1851779433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-130915 (AL)
- Practice address
- 1652 Montclair Rd
Irondale, AL 35210-2410 - Phone
- (205) 956-9192
- NPI assigned
- May 14, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814014231 | AL | Practitioner - Nurse Practitioner | 6406161777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-130915 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Neurodiagnostics of Alabama, LLC | Current |
Accepting new patients | |
| American Family Care, LLC | Past | Accepting new patients | |
| Leff K Robbins Jr MD Hospitalist Services PC | Past | Accepting new patients |
Locations
1000 Southlake Park
#200
Hoover, AL 35244
Phone (205) 536-8736
Interoperability endpoints
- cgilliland@ima.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-130915 | AL | Yes |
Addresses
Primary practice location
1652 Montclair Rd
Irondale, AL 35210-2410
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Other providers in Irondale, AL
- Kayla Gaines
- Ashley Joiner Gamble
- Michael Dale Gary
- Matthew Jerrid Gibson
- Sarah Gilbert
- Grandview Surgery LLC
- Grants Mill Family Dentistry, LLC
- Kamya Graves
- Gray Matter Counseling LLC
- Grey Space LLC
All providers in Irondale, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.