GARRY GILLIS (ATC) – Athletic Trainer, NPI 1679546212

GARRY GILLIS (ATC) is a healthcare provider. based in Jacksonville, Florida. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. AL52 (FL). The NPI Number for GARRY GILLIS (ATC) is 1679546212

Main info

Male
Name
GARRY GILLIS (ATC)
NPI
1679546212
Phone
(904) 536-0548
Address
802 S LILAC LOOP
Enumeration Date
13 February 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GARRY GILLIS (ATC)

  • 802 S LILAC LOOP

    JACKSONVILLE, FL 322591919

    Phone: (904) 536-0548

    Fax: (904) 264-8350

    Type: Mailing

  • 540, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320734847

    Phone: (904) 536-0548

    Fax: (904) 264-8350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 32259)

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Reviews

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Frequently asked questions

How is GARRY GILLIS (ATC) identified in CMS data?
CMS-hosted NPPES data lists GARRY GILLIS (ATC) with NPI 1679546212.
Can I rely on GARRY GILLIS (ATC) being an active provider?
As of the registry snapshot, GARRY GILLIS (ATC) is marked active.
What taxonomy line describes GARRY GILLIS (ATC)?
For research purposes, treat GARRY GILLIS (ATC) as Athletic Trainer in this dataset. Clinical services aligned with this taxonomy classification.
Does GARRY GILLIS (ATC) list a practice location?
Patients near Jacksonville, Florida may find GARRY GILLIS (ATC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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