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

Active since February 21, 2014Opted out of Medicare · through Dec 4, 2026
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403(910) 790-9500 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2018, Mar 15, 2017 (2 updates tracked since 2017).

About Courtney Gilliam Ms, Rd, Ldn, Cssd NPPES

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

COURTNEY GILLIAM MS, RD, LDN, CSSD (NPI 1972928307) is an individual dietitian, registered in Wilmington, North Carolina, licensed in North Carolina (1031699) and active in the NPI registry since February 2014. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1972928307
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCOURTNEY GILLIAMCredential: MS, RD, LDN, CSSD
Location Address3240 BURNT MILL DR, SUITE 1Wilmington, NC 28403-2576
Mailing Address3240 Burnt Mill Dr, Suite 1Wilmington, NC 28403-2576 · (910) 790-9500
Phone(910) 790-9500
Sole ProprietorNo
Enumeration DateFebruary 21, 2014
Last NPPES UpdateApril 19, 20182 updates tracked since enumeration
✔ NPI 1972928307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · 1031699
Definition
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.
3240 BURNT MILL DR, Wilmington, NC 28403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Courtney Gilliam Ms, Rd, Ldn, Cssd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 4, 2014 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2014
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

MISS CASSANDRA JOAN TAVERNA LCSW-A
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
RHA HEALTH SERVICES, INC.
Community/Behavioral Health
3240 BURNT MILL DR
WILMINGTON, NC 28403
New Hanover County (910) 763-5355
AFFILIATED HEALTHCARE, PLC
Specialist
3240 BURNT MILL DR, SUITE 9
WILMINGTON, NC 28403
New Hanover County (252) 916-7026
MRS. TERRI LEA MOZINGO RD, LDN
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
PAMELA VETTER MSW, LCSWA
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
RICHARD DWAYNE SIMPSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3240 BURNT MILL DR, SUITE 5
WILMINGTON, NC 28403
New Hanover County (910) 763-8229
CHAUNDRA JOY EVANS RD, LDN
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500
STEPHANIE CHERISE VLAD MA, LPA, HSP-PA
Psychologist (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
New Hanover County (910) 790-9500

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 Courtney Gilliam's NPI number?

The NPI number for Courtney Gilliam is 1972928307. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Courtney Gilliam located?

Courtney Gilliam practices at 3240 Burnt Mill Dr Suite 1, Wilmington, NC 28403. The listed phone number is (910) 790-9500.

What is Courtney Gilliam's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Courtney Gilliam enrolled in Medicare?

No. Courtney Gilliam has opted out of Medicare through December 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Courtney Gilliam was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.