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

Individual provider Certified Registered Nurse Anesthetist · NPI 1316776990

Dalton Nicholas Gilliam is a Certified Registered Nurse Anesthetist (CRNA) in Warner Robins, Georgia. Qualified in 2025, 1 year ago. Practices with SE Georgia Anesthesia, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

115 Sunnydale Dr
Warner Robins, GA 31088-5750
Phone: (478) 957-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN-CRNA294586 (GA)

Record details

NPI number1316776990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Se Georgia Anesthesia, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Warner Robins