P Praxis·MD
● Active Type 1 · Individual

DR. Charles Arthur Gilliland IV, M.D.

Radiology·Stockbridge, GA· NPI 1558584086 · Enumerated 2007 · 19 years on NPI
Gilliland is 1 of 8 radiology providers in Stockbridge and 1 of 160 in Georgia.
NPI age
19 years
Enumerated 2007-04-11
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 160 active radiology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
2
In the 64% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
📞 7706077339fax 6789057053
Mailing address
Po Box 200096
Cartersville, GA 301209002
📞 7706077339fax 6789057053

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #72264 taxonomy 2085R0204X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #72264 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    TN license #RADIOLOGY taxonomy 390200000X

Identifiers

TypeValueNotes
01 (MO) 2011016762 LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 169 other active providers share 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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