MRS. TERRI DEJUANA GILLIAM APRN
NPI 1255958047
Nurse Practitioner - Family in Newport News, VA

Q: What is Terri Gilliam's NPI number?

The NPI number for Terri Gilliam is 1255958047. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Terri Gilliam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terri Gilliam was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 29, 2020PECOS Enrolled

11745 JEFFERSON AVE STE 10B, NEWPORT NEWS, VA 23606(833) 510-4357 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Jun 29, 2020 (2 updates tracked since 2020).

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About Mrs. Terri Dejuana Gilliam Aprn NPPES

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

MRS. TERRI DEJUANA GILLIAM APRN (NPI 1255958047) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024178455) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hampton.

NPPES Registry Identity

NPI1255958047

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TERRI DEJUANA GILLIAMCredential: APRN

Location Address11745 JEFFERSON AVE STE 10BNewport News, VA 23606-4418

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357

Phone(833) 510-4357

Sole ProprietorYes

Enumeration DateJune 29, 2020

Last NPPES UpdateApril 11, 20242 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1255958047 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 VA · 0024178455

11745 JEFFERSON AVE STE 10B, Newport News, VA 23606

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Secondary Practice Location 1

Location 123 Northcutt DrHampton, VA 23664-1179 · Phone (757) 273-4649

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Terri Dejuana Gilliam Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 23606 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 6

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

TIKEAMA BUCKINGHAM FNP-BC

Nurse Practitioner (Family)