George S Gilliam MD PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22817 Issued in KY

Legal business name

GEORGE S GILLIAM MD PSC

Practice address

1276 N Plaza Dr
Rockport, IN 47635-9028

Phone

(812) 649-2500

Fax

(812) 492-6498

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Stephen Gilliam, M.D.NPI 1023016912

Title

Owner-President

Phone

(270) 691-9697

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Stephen Gilliam, M.D.

  • Specialist
  • Rockport, IN
  • NPI 1023016912

  KY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1891856167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PLAZA DR",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359028",
            "telephone_number": "812-649-2500",
            "fax_number": "812-492-6498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Parrish Ave",
            "address_2": "STE. 203, BLDG B",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031449",
            "country_code": "US",
            "telephone_number": "270-691-9697",
            "fax_number": "270-691-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGE S GILLIAM MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "270-691-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "22817",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina J Erickson, M.D.
• Faulkenberg Harth Inc (Rockport Pharmacy)
• Kayla Hagan Fearon, PTA
• Corey Fortwendel, PHARMD
• G H Schumacher & Sons Inc (Rockport Pharmacy)
• Shelly Christian Gerteisen, FNP
• George Stephen Gilliam, M.D.
• Jordan A Goins, LSW
• Justin Lee Grose, PMHNP-BC
• Allison Hagan, MHCA

• Specialist in Rockport, IN
• Providers in Rockport, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.