COURTNEY GILLIAM MS, RD, LDN, CSSD
NPI 1972928307
Dietitian, Registered in Wilmington, NC

NPI Status: Active since February 21, 2014

Contact Information

3240 BURNT MILL DR
SUITE 1
WILMINGTON, NC
ZIP 28403
Phone: (910) 790-9500

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  • Individual
  • Female
  • Dietitian, Registered
  • Opted-Out Medicare

About COURTNEY GILLIAM

This page provides the complete NPI Profile along with additional information for Courtney Gilliam, a provider established in Wilmington, North Carolina with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1972928307 assigned on February 2014. The practitioner's primary taxonomy code is 133V00000X with license number 1031699 (NC). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1972928307
Provider Name
COURTNEY GILLIAM MS, RD, LDN, CSSD
Gender
Female
Entity Type
Individual
Location Address
3240 BURNT MILL DR SUITE 1 WILMINGTON, NC 28403
Location Phone
(910) 790-9500
Mailing Address
3240 BURNT MILL DR SUITE 1 WILMINGTON, NC 28403
Mailing Phone
(910) 790-9500
Is Sole Proprietor?
No
Enumeration Date
02-21-2014
Last Update Date
04-19-2018
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Courtney Gilliam opted out of Medicare effective on 12-04-2014 until 12-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
1031699
License State
NC
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-04-2014

  • Opt-Out End Date: 12-04-2026

  • Eligible to Order and Refer? No

Reviews for COURTNEY GILLIAM MS, RD, LDN, CSSD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972928307, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 8 + 2 + 1 + 6 + 3 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972928307.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Community/Behavioral Health
3240 BURNT MILL DR
WILMINGTON, NC 28403
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3240 BURNT MILL DR, SUITE 5
WILMINGTON, NC 28403
Specialist
3240 BURNT MILL DR, SUITE 9
WILMINGTON, NC 28403
Psychologist
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Psychologist (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Counselor (Mental Health)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972928307, enumerated as an "individual" on February 21, 2014.

The provider is located at 3240 BURNT MILL DR SUITE 1 WILMINGTON, NC 28403 and the phone number is (910) 790-9500.

Dietitian, Registered with taxonomy code 133V00000X.