MARY ALICE GILLINGHAM APRN
NPI 1154817906
Nurse Practitioner - Psychiatric/Mental Health in Savannah, GA

Q: What is Mary Gillingham's NPI number?

The NPI number for Mary Gillingham is 1154817906. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Mary Gillingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gillingham was last updated on July 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment

1915 EISENHOWER DR, SAVANNAH, GA 31406(912) 356-2011 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Alice Gillingham Aprn NPPES

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

MARY ALICE GILLINGHAM APRN (NPI 1154817906) is an individual psychiatric/mental health provider in Savannah, Georgia, licensed in Georgia (RN107620) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154817906

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY ALICE GILLINGHAMCredential: APRN

Location Address1915 EISENHOWER DRSavannah, GA 31406-5027

Mailing Address106 Chowning DrSavannah, GA 31419-9534 · (912) 661-4547

Phone(912) 356-2011

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 5, 2018

✔ NPI 1154817906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN107620

1915 EISENHOWER DR, Savannah, GA 31406

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Alice Gillingham Aprn 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 ID5496093999

PECOS Enrollment IDI20190207002109

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31406 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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Other Providers at the Same Location NPPES 20

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

MRS. DHARINIBEN PATEL

Nurse Practitioner (Psychiatric/Mental Health)