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PAOLI FAMILY MEDICINE
NPI 1245282235
Family Medicine in Paoli, PA

Active since May 17, 2006CLIA 39D0903482 · Waiver
250 LANCASTER AVE, SUITE 120, PAOLI, PA 19301(610) 644-8069(610) 644-6736 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paoli Family Medicine NPPES

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

PAOLI FAMILY MEDICINE (NPI 1245282235) is a healthcare organization registered as a family medicine in Paoli, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Ernest F Gillan, Partner Owner, as its authorized official.

NPPES Registry Identity

NPI1245282235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePAOLI FAMILY MEDICINE
Location Address250 LANCASTER AVE, SUITE 120Paoli, PA 19301
Mailing Address250 Lancaster Ave, Suite 120Paoli, PA 19301 · (610) 644-8069 · Fax (610) 644-6736
Phone(610) 644-8069
Fax(610) 644-6736
Organization SubpartNo
Authorized OfficialErnest F GillanPartner Owner · (610) 644-8069
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245282235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
250 LANCASTER AVE, Paoli, PA 19301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paoli Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Paoli Family Medicine, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice7
Nurse Practitioner4

Clinicians, nearest first (11)

Deborah Brown, CRNP
Nurse Practitioner
NPI 1609537570
250 W LANCASTER AVE STE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Lawrence Buckland, MD
Family Practice
NPI 1447273370
250 W LANCASTER AVE SUITE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Vera Davis, CRNP
Nurse Practitioner
NPI 1215744321
250 W LANCASTER AVE STE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Mackenzie Foster, CRNP
Nurse Practitioner
NPI 1528555703
250 W LANCASTER AVE STE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Natasha Garrett, DO
Family Practice
NPI 1386667392
250 W LANCASTER AVE SUITE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Ernest Gillan, MD
Family Practice
NPI 1730103029
250 W LANCASTER AVE SUITE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
James Krull, MD
Family Practice
NPI 1902829385
250 W LANCASTER AVE SUITE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
George Taylor, MD
Family Practice
NPI 1083855514
250 W LANCASTER AVE STE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Amy Walker, MD
Family Practice
NPI 1700890860
250 W LANCASTER AVE SUITE 120
Paoli, PA 19301
(610) 644-8069
✔ PECOS✔ Accepts MedicareSame address
Chelsea Larson
Nurse Practitioner
NPI 1770087595
125 S WEST ST
Wilmington, DE 19801
(302) 428-4475
✔ PECOS✔ Accepts Medicare21 mi
Emily Fellin, M.D.
Family Practice
NPI 1083906473
1 MELLON WAY LATROBE FAMILY MEDICINE RESIDENCY PROGRAM
Latrobe, PA 15650
(724) 537-1485
✔ PECOS✔ Accepts Medicare210 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0903482

Paoli Family Medicine · Paoli, PA
Active · expires Jul 23, 2027
CLIA Number39D0903482
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Mindy Williams
Laboratory Phone(610) 644-8069
Laboratory LocationPaoli Family Medicine250 West Lancaster Avenue Suite 120, Paoli, PA 19301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Paoli Family Medicine's NPI number?

The NPI number for Paoli Family Medicine is 1245282235. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Paoli Family Medicine located?

Paoli Family Medicine is located at 250 Lancaster Ave Suite 120, Paoli, PA 19301. The listed phone number is (610) 644-8069.

What is Paoli Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paoli Family Medicine enrolled in Medicare?

Yes. Paoli Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paoli Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Paoli Family Medicine. A 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 the clinician's services. The largest specialties are Family Practice (7) and Nurse Practitioner (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Paoli Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0903482) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paoli Family Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.