MR. FREDERICK DWAYNE GILLIAM PA-C
NPI 1871963942
Physician Assistant - Surgical in Visalia, CA

Q: What is Frederick Gilliam's NPI number?

The NPI number for Frederick Gilliam is 1871963942. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Q: What is Frederick Gilliam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Gilliam was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment

820 S AKERS ST STE 120, VISALIA, CA 93277(559) 625-4118(559) 625-6004 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Aug 2, 2021, Jan 16, 2020 and 2 more (5 updates tracked since 2015).

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About Mr. Frederick Dwayne Gilliam Pa-c NPPES

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

MR. FREDERICK DWAYNE GILLIAM PA-C (NPI 1871963942) is an individual surgical provider in Visalia, California, licensed in California (52887) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871963942

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. FREDERICK DWAYNE GILLIAMCredential: PA-C

Location Address820 S AKERS ST STE 120Visalia, CA 93277-8306

Mailing Address820 S Akers St Ste 120Visalia, CA 93277-8306

Phone(559) 625-4118

Fax(559) 625-6004

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 1, 2015

Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1871963942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 52887

Also ListedPhysician AssistantTaxonomy 363A00000X · License 52887 (CA)

820 S AKERS ST STE 120, Visalia, CA 93277

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Frederick Dwayne Gilliam Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294034096

PECOS Enrollment IDI20160428002367

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 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

326 services163 patients

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.

66 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

58 services58 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

32 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services21 patients

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Other Providers at the Same Location NPPES 7

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

DR. MATTHEW PETER CAMPBELL MD

Surgery (Vascular Surgery)