CASSANDRA SHEA GILLIAM PMHNP-BC
NPI 1639652829
Nurse Practitioner - Psychiatric/Mental Health in Macon, GA

Active since September 13, 2018PECOS Enrolled
135 MACON WEST DR, MACON, GA 31210(478) 496-4896(478) 389-0204 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Dec 12, 2024, May 15, 2023 and 1 more (4 updates tracked since 2018).

About Cassandra Shea Gilliam Pmhnp-bc NPPES

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

CASSANDRA SHEA GILLIAM PMHNP-BC (NPI 1639652829) is an individual psychiatric/mental health provider in Macon, Georgia, licensed in Georgia (RN171251) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warner Robins, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639652829
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASSANDRA SHEA GILLIAMCredential: PMHNP-BC
Location Address135 MACON WEST DRMacon, GA 31210-5652
Mailing Address1740 Rocky Creek Rd # 3822Macon, GA 31206-3585 · (478) 496-4896 · Fax (478) 389-0204
Fax(478) 389-0204
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2018
Last NPPES UpdateDecember 9, 20254 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1639652829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in GA · RN171251 Licensed in KS · 53-84213-062 Licensed in FL · APRN11037013 Licensed in UT · 14205407-4405 Licensed in WA · AP61651272
135 MACON WEST DR, Macon, GA 31210

Secondary Practice Location 1

Location 12052 Watson BlvdWarner Robins, GA 31093-3625 · Phone (478) 207-7773 · Fax (877) 299-6815

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra Shea Gilliam Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537527866
PECOS Enrollment IDI20251204003846
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

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

Social Worker
135 MACON WEST DR
MACON, GA 31210
Nurse Practitioner (Psychiatric/Mental Health)
135 MACON WEST DR
MACON, GA 31210

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 Cassandra Gilliam's NPI number?

The NPI number for Cassandra Gilliam is 1639652829. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Cassandra Gilliam located?

Cassandra Gilliam practices at 135 Macon West Dr, Macon, GA 31210. The listed phone number is (478) 496-4896.

What is Cassandra Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cassandra Gilliam enrolled in Medicare?

Yes. Cassandra Gilliam is registered in the Medicare PECOS enrollment system.

What insurance does Cassandra Gilliam accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Cassandra Gilliam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Gilliam was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.