THERESA LYNN HARVEY-GILLIARD RN
NPI 1073870960
Nurse Practitioner - Family in Lilburn, GA

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
4803 CARLENE WAY SW, LILBURN, GA 30047(267) 586-1545 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theresa Lynn Harvey-gilliard Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA LYNN HARVEY-GILLIARD RN (NPI 1073870960) is an individual family provider in Lilburn, Georgia, licensed in Georgia (RN304622) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073870960
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA LYNN HARVEY-GILLIARDCredential: RN
Location Address4803 CARLENE WAY SWLilburn, GA 30047-4705
Mailing Address4803 Carlene Way SwLilburn, GA 30047-4705 · (267) 586-1545
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 16, 2012
Last NPPES UpdateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1073870960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN304622
4803 CARLENE WAY SW, Lilburn, GA 30047

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Lynn Harvey-gilliard Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325404049
PECOS Enrollment IDI20230522002308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Theresa Harvey-gilliard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2385 WALL ST SE STE 116
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Family Medicine
31500 W 13 MILE RD STE 100
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Georgia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
4803 CARLENE WAY SW
LILBURN, GA 30047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Harvey-gilliard's NPI number?

The NPI number for Theresa Harvey-gilliard is 1073870960. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Theresa Harvey-gilliard located?

Theresa Harvey-gilliard practices at 4803 Carlene Way SW, Lilburn, GA 30047. The listed phone number is (267) 586-1545.

What is Theresa Harvey-gilliard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Harvey-gilliard enrolled in Medicare?

Yes. Theresa Harvey-gilliard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Harvey-gilliard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Harvey-gilliard reassigns Medicare benefits to 2 organizations: Vohra Wound Physicians Of Fl, LLC (Conyers, GA) and Vps Of Mi PLLC (Farmington Hills, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Harvey-gilliard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Harvey-gilliard was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.