TIMOTHY GILLIARD PA-C
NPI 1396029906
Physician Assistant in Daytona Beach, FL

Q: What is Timothy Gilliard's NPI number?

The NPI number for Timothy Gilliard is 1396029906. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Q: What is Timothy Gilliard'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 Timothy Gilliard was last updated on August 17, 2023. 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 September 30, 2011PECOS EnrolledAccepts Medicare Assignment

350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 238-3289 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Mar 24, 2021, Feb 24, 2017 (3 updates tracked since 2017).

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About Timothy Gilliard Pa-c NPPES

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

TIMOTHY GILLIARD PA-C (NPI 1396029906) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9106169) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396029906

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTIMOTHY GILLIARDCredential: PA-C

Location Address350 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2733

Mailing AddressPo Box 9910Daytona Beach, FL 32120-0910 · (386) 238-3289

Phone(386) 238-3289

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 30, 2011

Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1396029906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9106169

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.

350 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

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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

Timothy Gilliard Pa-c 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 ID5395997761

PECOS Enrollment IDI20121211000204

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.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

TYLER JAY STALEY M.D.

Physical Medicine & Rehabilitation (Sports Medicine)