Autumn Bailey Gallimore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4004407 Issued in KY

Practice address

803 Meyers Baker Rd Ste 200
London, KY 40741-3040

Phone

(606) 878-3240

NPI assigned

Dec 23, 2025

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

Other names 1

• Autumn Bailey McClelland Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• London Women'S Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650
  Medicare reassignment

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1962367714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KELLER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417684",
            "telephone_number": "276-870-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MEYERS BAKER RD STE 200",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413040",
            "telephone_number": "606-878-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIMORE",
        "first_name": "AUTUMN",
        "middle_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4004407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "MCCLELLAND",
            "middle_name": "BAILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fuse Medical
• Fuse Medical
• Fuse Medical
• Christopher Douglas Fuson, PT, DPT, ATC
• Andrew Wesley Gallagher, MSW
• Alec Gambrel, DMD
• Kyra N Gambrel, APRN
• Amanda Jeanne Garland
• Christopher Lee Garrison
• Brian Mark Gibbs, DMD

• Family Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.