ELIZABETH GILLEY MD
NPI 1366230484
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Q: What is Elizabeth Gilley's NPI number?

The NPI number for Elizabeth Gilley is 1366230484. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Elizabeth Gilley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Gilley was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2025PECOS Enrolled

1665 S GREEN ST, TUPELO, MS 38804(662) 377-2189(662) 377-2667 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elizabeth Gilley Md NPPES

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

ELIZABETH GILLEY MD (NPI 1366230484) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366230484

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELIZABETH GILLEYCredential: MD

Location Address1665 S GREEN STTupelo, MS 38804-6556

Mailing Address1665 S Green StTupelo, MS 38804-6556 · (662) 377-2189 · Fax (662) 377-2667

Phone(662) 377-2189

Fax(662) 377-2667

Sole ProprietorNo

Enumeration DateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1366230484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1665 S GREEN ST, Tupelo, MS 38804

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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 (PECOS)

Elizabeth Gilley Md 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.

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