MARY ALICE GILLINGHAM (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154817906

MARY ALICE GILLINGHAM (APRN) is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN107620 (GA). The NPI Number for MARY ALICE GILLINGHAM (APRN) is 1154817906

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY ALICE GILLINGHAM (APRN)
NPI
1154817906
Phone
(912) 661-4547
Address
106 CHOWNING DR
Enumeration Date
5 July 2018
Last Update Date
5 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783327955
Graduation Year
2018 (8 years ago)
PAC ID
5496093999
Group Practice PAC ID
6800104506
Professional Enrollment ID
I20190207002109
Address ID
GA301324122DA702XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MARY ALICE GILLINGHAM (APRN)

  • 106 CHOWNING DR

    SAVANNAH, GA 314199534

    Phone: (912) 661-4547

    Type: Mailing

  • Georgia Regional Hospital, 1915, Eisenhower Drive, Brookview, Savannah, Chatham County, Georgia, 31406, United States

    SAVANNAH, GA 314065027

    Phone: (912) 356-2011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190207002109INurse PractitionerGATBD
I20220824001797INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31419)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800104506View full group profile
NameSpecialtyState
Mental Health CounselorGA
Mental Health CounselorGA
Clinical Social WorkerGA
Mental Health CounselorGA
Mental Health CounselorGA
Mental Health CounselorGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

Is there an official ID for MARY ALICE GILLINGHAM (APRN) in U.S. healthcare records?
The official identifier for MARY ALICE GILLINGHAM (APRN) is NPI 1154817906.
Is MARY ALICE GILLINGHAM (APRN) still an active registrant?
MARY ALICE GILLINGHAM (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to MARY ALICE GILLINGHAM (APRN)?
MARY ALICE GILLINGHAM (APRN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY ALICE GILLINGHAM (APRN) associated with Savannah?
Public fields place MARY ALICE GILLINGHAM (APRN) around Savannah, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for MARY ALICE GILLINGHAM (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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