Spencer Elwood Gilleon, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME0059563 Issued in FL

Practice address

1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4655

Phone

(850) 877-0101

Fax

(850) 877-2750

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Otolaryngology

Education

University of Florida College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Ear, Nose and Throat-Head and Neck Surgery, P.a.Group PAC ID 6608858840, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sgilleon22258@tallahasseememorial.direct-ci.com
• Direct secure messaging: spencer.gilleonmd.p1@direct.tallyent.nextgenshare.com

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.

• Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a.

  • Otolaryngology Physician
  • Tallahassee, FL
  • NPI 1790797728
  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891707857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "SUITE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-0101",
            "fax_number": "850-877-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "SUITE 5400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-0101",
            "fax_number": "850-877-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEON",
        "first_name": "SPENCER",
        "middle_name": "ELWOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0059563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12271",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459247A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052136100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Gilbert
• Shakari D Gilbert, DPT
• Gilberts Hands LLC
• Patricia Maclean Gill
• Scott Benjamin Gilleland, M.D.
• Donna L. Gillette, LMHC AND CLINICAL SP
• Dominique Mercedes Gillings
• Donovan Gillis, COTA
• Bethsaida Lopez Gillum, ARNP
• Christina Gillyard-Williams

• Otolaryngology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.