NPIMap

Individual provider Active NPI

Katherine Hindman Gilliam, DO

  • Family Medicine Physician
  • Russellville, KY
National Provider Identifier
1992188734
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04068 Issued in KY
Practice address
1405 Nashville St
Russellville, KY 42276-8857
Phone
(270) 725-9700
Fax
(270) 725-9992
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLC 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

  • Lifeline Health Care of Logan Home health agency, Russellville, KY, CCN 187128
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Centerwell Home Health Home health agency, Hopkinsville, KY, CCN 187124
  • The Medical Center at Russellville Hospital, Russellville, KY, CCN 180066
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009001815 KY Practitioner - Family Practice 8820306905 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04068KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Sep 1, 2017 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1405 Nashville St
Ste C
Russellville, KY 42276
Phone (270) 720-2550

Interoperability endpoints

  • Direct secure messaging: katherinegilliam@ggc.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3494 KY
Family Medicine Physician 207Q00000X 04068 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1405 Nashville St
Russellville, KY 42276-8857

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

Other names 1

NPPES NPI Registry
  • Katherine Hindman Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2020.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1992188734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768857",
            "telephone_number": "270-725-9700",
            "fax_number": "270-725-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "KATHERINE",
        "middle_name": "HINDMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3494",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HINDMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.