P Praxis·MD
● Active Type 1 · Individual

Cassandra Shea Gilliam, PMHNP-BC

Nurse Practitioner·MacOn, GA· NPI 1639652829 · Enumerated 2018 · 7 years on NPI
Gilliam is 1 of 18 nurse practitioner providers in MacOn and 1 of 1622 in Georgia.
NPI age
7 years
Enumerated 2018-09-13
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
GA, KS, FL, UT, WA
5 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
5 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
135 MacOn West Dr
MacOn, GA 312105652
📞 4784964896fax 4783890204
Mailing address
1740 Rocky Creek Rd # 3822
MacOn, GA 312063585
📞 4784964896fax 4783890204

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2052 Watson Blvd
Warner Robins, GA 310933625
📞 4782077773fax 8772996815

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN171251KS license #53-84213-062FL license #APRN11037013UT license #14205407-4405WA license #AP61651272 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in MacOn in the last 180 days. See all →
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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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