NAKIA CHARRONE GILLIAM (NPI# 1073017166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073017166 |
| Entity Type | Individual |
| Full Name | NAKIA CHARRONE GILLIAM |
| Credential | FNP |
| Practice Address |
1267 Highway 54 W Ste 4200 Fayetteville GA 30214-2112 |
| Mailing Address |
1800 Howell Mill Rd Nw Ste 800 Atlanta GA 30318-0922 |
| Practice Telephone | 6788291060 |
| Practice Fax Number | 6788291099 |
| Mailing Telephone | 4043509853 |
| Mailing Fax Number | 4044771162 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN256269 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1240 Eagles Landing Pkwy Ste 260, Stockbridge, GA 302815173 | 6788549500 | 6788549502 |
| 1800 Howell Mill Rd Nw Ste 800, Atlanta, GA 303180922 | 4043509853 | 4043508407 |
| 2738 N Decatur Rd, Decatur, GA 300335910 | 8584147658 | |
| 775 Poplar Rd Ste 310, Newnan, GA 302658303 | 7702512590 | 7702511490 |
| Street Address |
1267 HIGHWAY 54 W STE 4200 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992888945 | Patricia Ann Edwards | Nurse Practitioner | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2006-10-23 |
| 1861028466 | Charles Franklin Hortenstine | Physician Assistant | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2020-03-16 |
| 1669030052 | Maria Willis | Nurse Practitioner | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2019-05-31 |
| 1720514631 | Sherome Graham | Nurse Practitioner | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2017-05-11 |
| 1679015390 | Kathryn Perez Parr | Nurse Practitioner | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2016-11-11 |
| 1013295922 | Vipin Ramprasad Lohiya | Internal Medicine | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214-2112 | 2011-07-26 |
| 1457545709 | Trevor Feinstein | Internal Medicine | 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on NAKIA CHARRONE GILLIAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.