Leah Beth Gilliam, MD
Individual provider Active NPI Family Medicine Physician · Lexington, TN
NPI 1891037875 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1891037875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 52309 (TN)
- Practice address
- 83 S Main St
Lexington, TN 38351 - Phone
- (731) 614-7957
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
83 S Main St
Lexington, TN 38351-2109
Phone (731) 798-5056
Hospital & facility affiliations
- Baptist Memorial Home Care
- Deaconess Homecare
- Volunteer Homecare of West TN
- Amedisys Home Health Care
- Arden Hospice of Southern Tennessee, LLC
- Henderson County Community Hospital
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital - Carroll County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002065 | TN | Practitioner - Family Practice | 1951540368 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52309 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leah B. Gilliam, MD. | Family Medicine | Current |
Accepting new patients |
| Frix-Jennings Clinic PC | Family Medicine | Current |
Accepting new patients |
| Advanced Kidney Specialists, P.C. | Past | Accepting new patients |
Locations
116 W Main St
Henderson, TN 38340
Phone (731) 427-5581
83 S Main St
Lexington, TN 38351
Phone (731) 614-7957
Interoperability endpoints
- leah.gilliam@117372888809476.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52309 | TN | Yes |
Addresses
Primary practice location
83 S Main St
Lexington, TN 38351
Mailing address
83 S Main St
Lexington, TN 38351-2109
Phone (731) 614-7957
Other practice location 1
9550 Highway 412 West
Suite C
Lexington, TN 38351-7126
Phone (731) 968-1400
Other providers in Lexington, TN
- Fast Pace Medical Clinic PLLC
- Jasmine Lynn Frederick
- Freds Stores of Tennessee Inc
- Althea Getman
- Cynthia Gibbs
- David Todd Goodman
- Goodwin Childrens Clinic, PLC
- Kendra D Grissom
- Aley Hasnain Hamadani
- Paige Harden
All providers in Lexington, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.