Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GARRY GILLIS ATC
NPI 1679546212
Specialist/Technologist - Athletic Trainer in Orange Park, FL

Q: What is Garry Gillis's NPI number?

The NPI number for Garry Gillis is 1679546212. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Garry Gillis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Garry Gillis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 13, 2006

540 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 536-0548(904) 264-8350 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Garry Gillis Atc NPPES

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

GARRY GILLIS ATC (NPI 1679546212) is an individual athletic trainer provider in Orange Park, Florida, licensed in Florida (AL52) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1679546212

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameGARRY GILLISCredential: ATC

Location Address540 KINGSLEY AVEOrange Park, FL 32073-4847

Mailing Address802 S Lilac LoopJacksonville, FL 32259-1919 · (904) 536-0548 · Fax (904) 264-8350

Phone(904) 536-0548

Fax(904) 264-8350

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1679546212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · AL52

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

540 KINGSLEY AVE, Orange Park, FL 32073

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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.

LISA GARRETT PTA

Physical Therapy Assistant