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DR. SAMUEL NIXON GILLESPIE MD NPI 1184612095


NPI Information

NPI: 1184612095
Provider Name: DR. SAMUEL NIXON GILLESPIE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
94 MEDICAL CIR
MOULTON, AL
ZIP 35650
Phone: (256) 974-9216
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DR. Samuel Nixon Gillespie, MD is a family medicine in Moulton, AL with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Samuel Nixon Gillespie, MD NPI is 1184612095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

94 MEDICAL CIR
MOULTON, AL
ZIP 35650-256
Phone: (256) 974-9216
Fax: (256) 974-8211

The NPI 1184612095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Urinalysis, manual test (HCPCS:81002)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 10/13/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172V00000XCommunity Health Worker12662ALABAMANo
2207N00000XDermatology12662ALABAMANo
3207QA0505XFamily MedicineAdult Medicine12662ALABAMANo
4207Q00000XFamily Medicine12662ALABAMAYes
5207QS0010XFamily MedicineSports Medicine12662ALABAMANo
6207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism12662ALABAMANo
7207QG0300XFamily MedicineGeriatric Medicine12662ALABAMANo
8207RH0005XInternal MedicineHypertension Specialist12662ALABAMANo
92084P0800XPsychiatry & NeurologyPsychiatry12662ALABAMANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112662OTHERALABAMAMEDICAL LICENSE
200012662OTHERALABAMACDS
301D0302603OTHERALABAMACLIA
4529402270MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.