DR. CHARLES ARTHUR GILLILAND IV (NPI# 1558584086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558584086 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ARTHUR GILLILAND IV |
| Credential | M.D. |
| Practice Address |
1984 Peachtree Road Suite 505 Atlanta GA 30309-5219 |
| Practice Telephone | 4043521409 |
| Mailing Telephone | 4043521409 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2011016762 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RADIOLOGY | TN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2011016762 | 01 |
| TN | DEA NUMBER | AM0395168-6116 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346587730 | Charles V Gilliland | Orthopaedic Surgery | 34 Via Capri, Rancho Palos Verdes, CA 90275-5372 | 2013-01-06 |
| 1366646192 | Charles Andrew Gilliland | Family Medicine | 613 23rd St, Ste G30, Ashland, KY 41101-2878 | 2007-06-14 |
| 1932187309 | Charles Gilliland | Hospitalist | 1900 Electric Rd, Salem, VA 24153-7474 | 2006-01-05 |
| Street Address |
1984 PEACHTREE ROAD SUITE 505 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770945016 | Charlotte Chung | Radiology | 1364 Clifton Rd Ne Rm D125a, Atlanta, GA 30322-4509 | 2016-03-25 |
| 1295172351 | Philip Kin-wai Wong | Radiology | 1364 Clifton Rd Ne Ste D125, Atlanta, GA 30322 | 2013-05-30 |
| 1982049292 | Mohamed Yahya Al Sawaf | Radiology | 550 Peachtree St. N.w., Atlanta, GA 30309 | 2013-05-01 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1851657571 | Mircea Mihai Cristescu | Radiology | Emory University 1364 Clifton Rd, Atlanta, GA 30322 | 2012-04-06 |
| 1912273483 | Sagar Bipin Amin | Radiology | 1365 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2012-03-28 |
| 1417236241 | Ernst Murphy Ruder | Radiology | 1175 W Garmon Rd Nw, Atlanta, GA 30327-4401 | 2011-08-10 |
| 1124311212 | Colin Michael Segovis | Radiology | Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 | 2011-05-23 |
| 1518265883 | Barbara Erwin Robertson | Radiology | 11 Riverly Pl Nw, Atlanta, GA 30327-2500 | 2011-03-10 |
| 1881918845 | Margaret Fleming | Radiology | 1365 Clifton Road, Department of Radiology, Suite D-125a, Atlanta, GA 30322 | 2010-03-19 |
| Find all providers in ATLANTA | ||||
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| 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.