MRS. MARTINA DIANNA GILLIAM FNP-C
NPI 1497560718
Nurse Practitioner - Family in Tupelo, MS

Q: What is Martina Gilliam's NPI number?

The NPI number for Martina Gilliam is 1497560718. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Q: What is Martina 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 Martina Gilliam was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 12, 2025PECOS EnrolledAccepts Medicare Assignment

4381 S EASON BLVD, TUPELO, MS 38801(662) 377-5199 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Mar 19, 2026, Nov 14, 2025 and 1 more (4 updates tracked since 2025).

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About Mrs. Martina Dianna Gilliam Fnp-c NPPES

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

MRS. MARTINA DIANNA GILLIAM FNP-C (NPI 1497560718) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (F02250347) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497560718

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARTINA DIANNA GILLIAMCredential: FNP-C

Location Address4381 S EASON BLVDTupelo, MS 38801-6583

Mailing Address4381 S Eason BlvdTupelo, MS 38801-6583 · (662) 377-5199 · Fax (662) 377-5301

Phone(662) 377-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 12, 2025

Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1497560718 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 MS · F02250347

4381 S EASON BLVD, Tupelo, MS 38801

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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

Mrs. Martina Dianna Gilliam Fnp-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 ID2668964016

PECOS Enrollment IDI20251122001499

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 3

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250004

Location830 S Gloster StreetTupelo, MS 38801 · Lee County

Emergency services Birthing friendly

Webster General Hospital/ Swing Bed

Acute Care Hospitals · Eupora, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250020

Location70 Medical PlazaEupora, MS 39744 · Webster County

Emergency services

Pontotoc Health Service Inc Cah

Critical Access Hospitals · Pontotoc, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251308

Location176 South Main StreetPontotoc, MS 38863 · Pontotoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

MICHELLE PRUITT

Specialist/Technologist (Athletic Trainer)

4381 S EASON BLVD
TUPELO, MS 38801

Lee County (662) 377-5468

NORTH MISSISSIPPI MEDICAL CENTER, INC.

Neurological Surgery

4381 S EASON BLVD, SUITE 302
TUPELO, MS 38801

Lee County (662) 377-5700

MILLICENT MCALILLY LCSW

Social Worker (Clinical)

4381 S EASON BLVD, SUITE 301
TUPELO, MS 38801

Lee County (662) 377-6610

RUTH A. HAUGAN ATC

Specialist/Technologist (Athletic Trainer)

4381 S EASON BLVD, LONGTOWN MEDICAL PARK - ORC
TUPELO, MS 38801

Lee County (662) 377-5468

LORI HALL FORRESTER NP

Nurse Practitioner (Acute Care)

4381 S EASON BLVD, SUITE 302
TUPELO, MS 38801

Lee County (662) 377-5700

LOUIS ROSA III MD

Neurological Surgery

4381 S EASON BLVD
TUPELO, MS 38801

Lee County (662) 377-5700

JOHNNIE WARREN WILLIAMSON MD

Surgery

4381 S EASON BLVD, SUITE 202
TUPELO, MS 38801

Lee County (662) 377-6470

MR. MATTHEW WEISENBERGER ATC

Specialist/Technologist (Athletic Trainer)

4381 S EASON BLVD
TUPELO, MS 38801

Lee County (662) 377-7215

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 Martina Gilliam's NPI number?

The NPI number for Martina Gilliam is 1497560718. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Martina Gilliam located?

Martina Gilliam practices at 4381 S Eason Blvd, Tupelo, MS 38801. The listed phone number is (662) 377-5199.

What is Martina Gilliam's specialty?

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

Is Martina Gilliam enrolled in Medicare?

Yes. Martina Gilliam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Martina Gilliam affiliated with any hospitals?

According to CMS data, Martina Gilliam is affiliated with North Mississippi Medical Center, Webster General Hospital/ Swing Bed and Pontotoc Health Service Inc Cah.

When was this NPI record last updated?

The NPPES record for Martina Gilliam was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.