P Praxis·MD
● Active Type 1 · Individual

Kevin Robert Gilliam

Nurse Practitioner·Atlanta, GA· NPI 1548716806 · Enumerated 2016 · 9 years on NPI
Gilliam is 1 of 47 nurse practitioner providers in Atlanta and 1 of 123 in Georgia.
NPI age
9 years
Enumerated 2016-08-28
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 123 active nurse practitioner providers in Georgia.

NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
5901-B Peachtree Dunwoody Road
Atlanta, GA 303287156
📞 4042529751fax 4042555783
Mailing address
5901-B Peachtree Dunwoody Road
Atlanta, GA 303287156

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN252629 taxonomy 363LN0000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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