Individual provider Active NPI

Pamela Gail Gilley, MD

  • Family Medicine Physician
  • Shelbyville, TN
National Provider Identifier
1962662858
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000017973 Issued in TN
Practice address
200 Dover St Ste 207
Shelbyville, TN 37160-2824
Phone
(931) 685-4060
Fax
(931) 685-4062
NPI assigned
Jun 13, 2008
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000017973 TN Primary

Addresses

Primary practice location

200 Dover St Ste 207
Shelbyville, TN 37160-2824

Mailing address

200 Dover St Ste 207
Shelbyville, TN 37160-2824
Phone (931) 685-4060

Other practice location 1

1701 North Main Street
Suite D
Shelbyville, TN 37160
Phone (931) 685-4060

Other names 1

  • Pamela Gail Dehmlow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20101111000626 TN Practitioner - Family Practice 2567657992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mezuzah Investment Group LLCGroup PAC ID 6103269642, 4 clinicians

Practice addresses (Care Compare)

304 W Church St
Lewisburg, TN 37091-2730
Phone (931) 359-3551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000017973TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ribbon Medical Family Medicine Current Accepting new patients
Charles R Tessier DO PC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Mezuzah Investment Group LLC Family Medicine CurrentSince Jul 7, 2025 Accepting new patients

Locations

1223 Hatcher Ln
Columbia, TN 38401
Phone (931) 840-4200

1223 Hatcher Ln
Ste A
Columbia, TN 38401

2927 Huntsville Hwy
Ste A
Fayetteville, TN 37334
Phone (931) 297-5028

304 W Church St
Lewisburg, TN 37091
Phone (931) 359-3551

909 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

911 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

1346 Dow St
Murfreesboro, TN 37130
Phone (615) 439-6165

116 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 684-5554

200 Dover St
Ste 207
Shelbyville, TN 37160
Phone (931) 685-4060

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962662858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOVER ST STE 207",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602824",
            "telephone_number": "931-685-4060",
            "fax_number": "931-685-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOVER ST STE 207",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602824",
            "telephone_number": "931-685-4060",
            "fax_number": "931-685-4062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 North Main Street",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "37160",
            "country_code": "US",
            "telephone_number": "931-685-4060",
            "fax_number": "931-685-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "PAMELA",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000017973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DEHMLOW",
            "middle_name": "GAIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.