1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Military Health Care Provider
  6. NPI Profile

SAMUEL THOMAS GILLILAND IDC
NPI 1679540645
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Active since March 08, 2006
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-3500 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Thomas Gilliland Idc NPPES

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

SAMUEL THOMAS GILLILAND IDC (NPI 1679540645) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1679540645
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameSAMUEL THOMAS GILLILANDCredential: IDC
Location AddressNAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STJacksonville, FL 32214-5000
Mailing AddressNaval Hospital Jacksonville, 2080 Child StJacksonville, FL 32214-5000 · (904) 542-3500
Phone(904) 542-3500
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 30, 2012
✔ NPI 1679540645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
NAVAL HOSPITAL JACKSONVILLE, Jacksonville, FL 32214
Open in Google Maps ↗

Other Identifiers 1

Other1710I1002XIndependent Duty Corpsman

Other Providers at the Same Location NPPES 18

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

DR. VERONICA CARRANZA RIOS M.D.
Emergency Medicine
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7345
DR. GIRARD LUCIEN POIRIER M.D.
Emergency Medicine
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7340
MICHAEL JAMES HOLMES IDC
Military Health Care Provider (Independent Duty Corpsman)
NAVAL HOSPITAL JACKSONVILLE, ATTENTION EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. DENISE MARIE LEVELING PHARM D
Pharmacist
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-9650
MR. JOSEPH ANTHONY KELLY CRNA
Nurse Anesthetist, Certified Registered
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7856
MRS. CAROLE ANNE DANIEL CRNA
Nurse Anesthetist, Certified Registered
NAVAL HOSPITAL JACKSONVILLE, 2880 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7856
CHRISTINE DAHL DAVIES CPNP-PC
Nurse Practitioner (Pediatrics)
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7436
MR. STEVEN EDWARD WILDASIN CRNA
Nurse Anesthetist, Certified Registered
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7631

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 Samuel Gilliland's NPI number?

The NPI number for Samuel Gilliland is 1679540645. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Samuel Gilliland located?

Samuel Gilliland practices at Naval Hospital Jacksonville 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-3500.

What is Samuel Gilliland's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Samuel Gilliland was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.