Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayverie Lucille Giller

Individual provider Physician Assistant · NPI 1457082034

Ayverie Lucille Giller is a Physician Assistant in Grand Ledge, Michigan. Qualified in 2023, 3 years ago. Practices with Specialty Medical Center Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

977 Bolton Farms Ln
Grand Ledge, MI 48837-9796
Phone: (517) 242-5406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011846 (MI)
Physician Assistant Taxonomy 363A00000X (MI)

Record details

NPI number1457082034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Specialty Medical Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Ledge