Active NPI
Anna C Gilliam, DPM
- Sports Medicine Podiatrist
- Anderson, SC
National Provider Identifier
1962562470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- 065
- Practice address
- 408 Marshall Ave
Anderson, SC 29621-5835 - Phone
- (864) 224-1836
- Fax
- (864) 224-1802
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | 065 | SC | Primary |
Addresses
Primary practice location
408 Marshall Ave
Anderson, SC 29621-5835
Mailing address
408 Marshall Ave
Anderson, SC 29621-5835
Phone (864) 224-1836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065 | SC | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Foot Clinic | Sports Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962562470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 MARSHALL AVE",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215835",
"telephone_number": "864-224-1836",
"fax_number": "864-224-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 MARSHALL AVE",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215835",
"telephone_number": "864-224-1836",
"fax_number": "864-224-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "ANNA",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "SC",
"license": "065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.