CASSANDRA SHEA GILLIAM (PMHNP-BC) – Registered Nurse, NPI 1639652829

CASSANDRA SHEA GILLIAM (PMHNP-BC) is a healthcare provider. based in Macon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 53-84213-062 (KS). The NPI Number for CASSANDRA SHEA GILLIAM (PMHNP-BC) is 1639652829

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA SHEA GILLIAM (PMHNP-BC)
NPI
1639652829
Phone
Not provided
Address
1902 FORSYTH ST STE D
Enumeration Date
13 September 2018
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4153603348
Graduation Year
2022 (4 years ago)
PAC ID
9537527866
Group Practice PAC ID
9830562776
Professional Enrollment ID
I20230620000820
Address ID
GA303182695AT1700XNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:7State licenses:5Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for CASSANDRA SHEA GILLIAM (PMHNP-BC)

  • Forsyth Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312018132

    Phone:

    Type: Mailing

  • 2052 Watson Blvd

    Warner Robins, GA 310933625

    Phone: (478) 207-7773

    Fax: (877) 299-6815

    Type: Location

  • 1740 ROCKY CREEK RD # 3822

    MACON, GA 312063585

    Phone: (478) 496-4896

    Fax: (478) 389-0204

    Type: Mailing

  • 135 MACON WEST DR

    MACON, GA 312105652

    Phone: (478) 496-4896

    Fax: (478) 389-0204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $645.

Total Amount is formed as General ($645) + Research ($0) + Ownership ($0) = $645.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($252).

Total Amount

$645

General + Research + Ownership

Payments

31

Total payment records

General Amount

$645

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

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: 2025-12-04

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
I20230620000820INurse PractitionerGATBD
I20251204003846INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2615$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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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: 9830562776View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerMI
Mental Health CounselorMI
Mental Health CounselorGA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorRI
Mental Health CounselorGA
Clinical Social WorkerFL
Mental Health CounselorGA

Reviews

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Frequently asked questions

What is the registry number for CASSANDRA SHEA GILLIAM (PMHNP-BC)?
The registry entry for CASSANDRA SHEA GILLIAM (PMHNP-BC) shows NPI 1639652829.
Is CASSANDRA SHEA GILLIAM (PMHNP-BC)'s NPI status active today?
Active status means CASSANDRA SHEA GILLIAM (PMHNP-BC)'s NPI record is not deactivated in the public file.
What services align with CASSANDRA SHEA GILLIAM (PMHNP-BC)'s listing?
CASSANDRA SHEA GILLIAM (PMHNP-BC)'s public classification highlights Registered Nurse. Clinical services aligned with this taxonomy classification.
Is CASSANDRA SHEA GILLIAM (PMHNP-BC) tied to Macon, Georgia?
If you are local to Macon, Georgia, CASSANDRA SHEA GILLIAM (PMHNP-BC) may be relevant to your search.
Why is information missing for CASSANDRA SHEA GILLIAM (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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