MR. MICKY VIN GILLIAM JR. (NPI# 1568837086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568837086 |
| Entity Type | Individual |
| Full Name | MR. MICKY VIN GILLIAM JR. |
| Credential | R.N |
| Practice Address |
1100 E Wendover Ave Greensboro NC 27405-6713 |
| Practice Telephone | 3366413221 |
| Mailing Telephone | 3366413221 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
267500 | NC | Nursing Service Providers |
| Street Address |
1100 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284316 | Mark David Hill | Dentist | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2006-04-14 |
| 1821605080 | Morenike Kritzer | Nurse Practitioner | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-30 |
| 1790391563 | Michelle Lee Woolverton | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-17 |
| 1841804440 | Anna Minnick | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-02 |
| 1114558483 | Samantha Scales Boyd | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-01-27 |
| 1811544729 | Rachel Duncan Hunter | Dietitian, Registered | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-08-26 |
| 1336793157 | Jahci Heath | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-07-30 |
| 1205497666 | Beverly Louya Lance | Nurse's Aide | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-06-26 |
| 1760949259 | Nigar Hasanaliyeva | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-21 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753045 | Syvanna Faith Smith | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2020-09-01 |
| 1407316490 | Patricia Scott | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2019-03-25 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| 1659836302 | Caitlin Pelliccia | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-07 |
| 1841766508 | Megan Dillard Phillips | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2018-10-22 |
| 1750888798 | Inga Rose Sheffield | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2018-04-06 |
| 1013414051 | Kimberly Middleton | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2018-04-06 |
| 1356848394 | Kathy Weaver | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2018-04-06 |
| 1821594003 | Sharain Nicole Carter | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2018-04-05 |
| 1558875880 | Kimberly N Dawson | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2017-11-22 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.