Benjamin R Gilliland (NPI# 1073967238, PAC ID# 5597011049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073967238 |
| PAC ID by PECOS | 5597011049 |
| Professional Enrollment ID | I20180713000616 |
| Full Name | Benjamin R Gilliland |
| Organization Legal Name | TUPELO MEDICAL GROUP, LLC |
| Address |
1265 Cliff Gookin Blvd Tupelo MS 38801-6749 |
| Phone Number | 6628402131 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769482439 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 250006 | BAPTIST MEMORIAL HOSPITAL UNION COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 200 Hwy 30 W, New Albany, MS 38652-3112 | 6625387631 | HOSPITAL MEDICINE ASSOCIATES LLC |
| 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 | 6628402131 | TUPELO MEDICAL GROUP, LLC |
| Organization Legal Name | TUPELO MEDICAL GROUP, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Renae Raines | Nurse Practitioner | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Pami Jo Taylor | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Donald Ricky Parker | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Mary Ellis Pace | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Julian Loden | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Brandie W Taylor | Nurse Practitioner | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Street Address |
1265 CLIFF GOOKIN BLVD |
| City | TUPELO |
| State | MS |
| Zip | 38801-6749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Renae Raines | Nurse Practitioner | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Pami Jo Taylor | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Donald Ricky Parker | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Mary Ellis Pace | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Julian Loden | Internal Medicine | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Brandie W Taylor | Nurse Practitioner | Tupelo Medical Group, LLC | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TUPELO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin R Gilliland.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.