CASSANDRA SHEA GILLIAM (PMHNP-BC) – Registered Nurse, NPI 1639652829
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230620000820 | I | Nurse Practitioner | GA | TBD |
| I20251204003846 | I | Nurse Practitioner | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 31201)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Mental Health Counselor | RI | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | GA |
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