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DR. OLIVIA KENDYL GILLIAM MD
NPI 1962291229
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since May 03, 2025PECOS Enrolled
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-2427(304) 388-2437 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Olivia Kendyl Gilliam Md NPPES

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

DR. OLIVIA KENDYL GILLIAM MD (NPI 1962291229) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962291229
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. OLIVIA KENDYL GILLIAMCredential: MD
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address800 Pennsylvania AveCharleston, WV 25302-3351 · (304) 388-2427 · Fax (304) 388-2437
Phone(304) 388-2427
Fax(304) 388-2437
Sole ProprietorYes
Enumeration DateMay 3, 2025
NPPES CertifiedMay 3, 2025
✔ NPI 1962291229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 PENNSYLVANIA AVE, Charleston, WV 25302
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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 (PECOS)

Dr. Olivia Kendyl Gilliam Md 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.

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.

MRS. HOPE HALSTEAD WEBB CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
KAWEETA AHUJA
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
DR. HARSHITHA DHANPALREDDY MBBS
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
CAMC FAMILY RESOURCE CENTER
Clinic/Center (Adult Mental Health)
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Kanawha County (304) 388-1596
JENNIFER ESTEP MSN, APRN, FNP-BC
Nurse Practitioner (Family)
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2600
DR. KRISTI ANN WU DO
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
MRS. KELLEY DAWNE HARPER CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
JO ELLEN DEAN-WAGONER CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470

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 Olivia Gilliam's NPI number?

The NPI number for Olivia Gilliam is 1962291229. It was assigned to this individual provider in the NPPES registry on May 3, 2025.

Where is Olivia Gilliam located?

Olivia Gilliam practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 388-2427.

What is Olivia Gilliam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Gilliam enrolled in Medicare?

Yes. Olivia Gilliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Gilliam was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.