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

Edwin Gilliam, FP

Individual provider Family Nurse Practitioner · NPI 1952383143

Edwin Gilliam, FP is a Nurse Practitioner in Tucson, Arizona. Qualified in 1997, 29 years ago. Practices with Tucson Physician Group Holdings LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2005

Practice location Address checks out

1775 E Skyline Dr Ste 101
Tucson, AZ 85718-1162
Phone: (520) 615-6200
Fax: (520) 615-6255
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN085103 (AZ)

Record details

NPI number1952383143
Entity typeIndividual (Type 1)
GenderMale
Credentials FP
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Tucson Physician Group Holdings Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tucson