Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassandra Shea Gilliam, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639652829

Cassandra Shea Gilliam, PMHNP-BC is a Nurse Practitioner in Macon, Georgia. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida, Georgia, Kansas and Utah and 1 more.

Years since qualifying
4
Licensed in
FL, GA, KS, UT, WA
In the registry since
2018
Specialties on file
5
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

135 Macon West Dr
Macon, GA 31210-5652
Phone: (478) 496-4896
Fax: (478) 389-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2052 Watson Blvd, Warner Robins, GA 31093-3625 — (478) 207-7773

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN171251 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 53-84213-062 (KS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11037013 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 14205407-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61651272 (WA)

Record details

NPI number1639652829
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 13, 2018
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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