SAMANTHA LYNN GILLAM APRN - NPI 1891684783 - Nurse Practitioner in Port Orange, FL

Q: What is Samantha Gillam's NPI number?

The NPI number for Samantha Gillam is 1891684783. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Samantha Gillam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Gillam was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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About Samantha Lynn Gillam Aprn NPPES

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

SAMANTHA LYNN GILLAM APRN (NPI 1891684783) is an individual nurse practitioner in Port Orange, Florida, licensed in Florida (APRN11040193) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1891684783

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA LYNN GILLAMCredential: APRN

Location Address5132 TAYLOR AVEPort Orange, FL 32127-8607

Mailing Address5132 Taylor AvePort Orange, FL 32127-8607 · (704) 798-0619

Phone(704) 798-0619

Sole ProprietorYes

Enumeration DateJuly 2, 2025

NPPES CertifiedJuly 2, 2025

✔ NPI 1891684783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11040193

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5132 TAYLOR AVE, Port Orange, FL 32127

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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 Samantha Gillam's NPI number?

The NPI number for Samantha Gillam is 1891684783. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Samantha Gillam located?

Samantha Gillam practices at 5132 Taylor Ave, Port Orange, FL 32127. The listed phone number is (704) 798-0619.

What is Samantha Gillam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Samantha Gillam was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.