JONATHAN CALVIN GILLIAM PA
NPI 1386468239
Physician Assistant in Greensboro, NC

Q: What is Jonathan Gilliam's NPI number?

The NPI number for Jonathan Gilliam is 1386468239. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Jonathan Gilliam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gilliam was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 November 07, 2024PECOS EnrolledAccepts Medicare Assignment

1121 N CHURCH ST, GREENSBORO, NC 27401(336) 207-7055 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Calvin Gilliam Pa NPPES

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

JONATHAN CALVIN GILLIAM PA (NPI 1386468239) is an individual physician assistant in Greensboro, North Carolina and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of University Of Pittsburgh School Of Medicine (2024).

NPPES Registry Identity

NPI1386468239

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN CALVIN GILLIAMCredential: PA

Location Address1121 N CHURCH STGreensboro, NC 27401-1007

Mailing Address5904 Arcadia DrGreensboro, NC 27410-3210 · (919) 667-6150

Phone(336) 207-7055

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2024

Enumeration DateNovember 7, 2024

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1386468239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1121 N CHURCH ST, Greensboro, NC 27401

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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

Jonathan Calvin Gilliam Pa 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 ID7810412202

PECOS Enrollment IDI20250417002863

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 20

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

COLLIN FISHER HINNANT PA-C

Physician Assistant