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KERRY J. GILLILAND MD NPI 1316918683


NPI Information

NPI: 1316918683
Provider Name: KERRY J. GILLILAND, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
186 KIMEL PARK DR
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-2000
Get Directions

Kerry J. Gilliland, MD is a cardiovascular disease internal medicine in Winston Salem, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kerry J. Gilliland, MD NPI is 1316918683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

186 KIMEL PARK DR
WINSTON SALEM, NC
ZIP 27103-946
Phone: (336) 277-2000
Fax: (336) 277-2050

The enumeration date for this NPI number is 1/27/2006 and was last updated on 2/7/2013.


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
1207RC0000XInternal MedicineCardiovascular Disease20904NORTH CAROLINAYes

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
11316918683MEDICAIDVIRGINIA
21285682310OTHERNORTH CAROLINAWSCA GRP NPI #
3206633BMEDICARE PINNORTH CAROLINA
4142OTHERNORTH CAROLINAPARTNERS ID#
535557OTHERNORTH CAROLINABCBS ID#
6206633CMEDICARE PINNORTH CAROLINA
7206633FMEDICARE PINNORTH CAROLINA
8NC4148AMEDICARE PINNORTH CAROLINA
98935557MEDICAIDNORTH CAROLINA
10C84054MEDICARE UPINNORTH CAROLINA

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.