DR. DEBRA JAPZON GILLUM PH.D.
NPI 1649365503
Psychologist - Clinical in Fayetteville, NC

Q: What is Debra Gillum's NPI number?

The NPI number for Debra Gillum is 1649365503. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Debra Gillum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Debra Gillum was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 04, 2006PECOS Enrolled

1540 PURDUE DR, SUITE 200, FAYETTEVILLE, NC 28303(901) 867-8889(901) 867-8699 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Debra Japzon Gillum Ph.d. NPPES

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

DR. DEBRA JAPZON GILLUM PH.D. (NPI 1649365503) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (1708) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649365503

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DEBRA JAPZON GILLUMCredential: PH.D.

Location Address1540 PURDUE DR, SUITE 200Fayetteville, NC 28303-5510

Mailing Address1540 Purdue Dr, Suite 200Fayetteville, NC 28303-5510 · (901) 867-8889 · Fax (901) 867-8699

Phone(901) 867-8889

Fax(901) 867-8699

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 22, 2009

✔ NPI 1649365503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 1708

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1540 PURDUE DR, Fayetteville, NC 28303

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Other Identifiers 4

Medicaid6000388NC

Medicare UPINOTH000NC

Other0450TNC · Bcbs

Medicare ID-Type Unspecified2821362NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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)

Dr. Debra Japzon Gillum Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 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

$165.09 typical visit price

range $54.12 – $165.09

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

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 11

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

CYNTHIA WILSON RICHARDS MD

Physical Medicine & Rehabilitation

1540 PURDUE DR, STE. 200
FAYETTEVILLE, NC 28303

Cumberland County (910) 630-1112

ANGEL MORGAN

Social Worker (Clinical)

1540 PURDUE DR
FAYETTEVILLE, NC 28303

Cumberland County (910) 222-6206

VIVIETTE L. ALLEN

Psychologist

1540 PURDUE DR, SUITE 200
FAYETTEVILLE, NC 28303

Cumberland County (910) 867-8889

STEPHANIE DAWN MCGRATH

Counselor (Professional)

1540 PURDUE DR
FAYETTEVILLE, NC 28303

Cumberland County (910) 867-8889

MRS. DAWN STATEN DRAKEFORD MSCC, LPC, LCASA

Counselor (Mental Health)

1540 PURDUE DR, SUITE 300
FAYETTEVILLE, NC 28303

Cumberland County (910) 222-6206

MRS. BARBARA ANN DARBY LPC, LMFT

Marriage & Family Therapist

1540 PURDUE DR, SUITE 200
FAYETTEVILLE, NC 28303

Cumberland County (910) 867-8889

CHERYL LYNN GERSHEY CPNP

Nurse Practitioner (Pediatrics)

1540 PURDUE DR, SUITE 101
FAYETTEVILLE, NC 28303

Cumberland County (910) 491-2437

HEIDI KATHRYN VANCE LPC-A

Counselor (Professional)

1540 PURDUE DR, SUITE 200
FAYETTEVILLE, NC 28303

Cumberland County (910) 867-8889

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 Debra Gillum's NPI number?

The NPI number for Debra Gillum is 1649365503. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Debra Gillum located?

Debra Gillum practices at 1540 Purdue Dr Suite 200, Fayetteville, NC 28303. The listed phone number is (901) 867-8889.

What is Debra Gillum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Debra Gillum enrolled in Medicare?

Yes. Debra Gillum is registered in the Medicare PECOS enrollment system.

What insurance does Debra Gillum accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Debra Gillum 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 Debra Gillum was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.