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DR. FRED EMERSON GILLIARD M.D.
NPI 1629407838
Family Medicine - Adult Medicine in Evans, GA

Active since November 07, 2013
854 SPARKLEBERRY RD, EVANS, GA 30809(706) 306-9397(706) 650-9529 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fred Emerson Gilliard M.d. NPPES

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

DR. FRED EMERSON GILLIARD M.D. (NPI 1629407838) is an individual adult medicine provider in Evans, Georgia, licensed in Georgia (12468) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1629407838
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. FRED EMERSON GILLIARDCredential: M.D.
Location Address854 SPARKLEBERRY RDEvans, GA 30809-4431
Mailing Address854 Sparkleberry RdEvans, GA 30809-4431 · (706) 306-9397 · Fax (706) 650-9529
Phone(706) 306-9397
Fax(706) 650-9529
Sole ProprietorYes
Enumeration DateNovember 7, 2013
Last NPPES UpdateDecember 31, 2013
✔ NPI 1629407838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · 12468
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

854 SPARKLEBERRY RD, Evans, GA 30809
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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 Fred Gilliard's NPI number?

The NPI number for Fred Gilliard is 1629407838. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Fred Gilliard located?

Fred Gilliard practices at 854 Sparkleberry Rd, Evans, GA 30809. The listed phone number is (706) 306-9397.

What is Fred Gilliard's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Fred Gilliard was last updated on December 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.