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

Evin Lake Guilliams, DO

Individual provider Neurological Surgery Physician · NPI 1497287734

Evin Lake Guilliams, DO is a Neurosurgery in Ashland, Kentucky. Qualified in 2017, 9 years ago. Practices with Premier Therapy and Health Centers Inc, a 264-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
9
Licensed in
FL, KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

617 23rd St Ste 106
Ashland, KY 41101-2880
Phone: (606) 329-1770
Fax: (606) 329-1768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence TP273 (KY)
Neurological Surgery Physician Taxonomy 207T00000X · Licence OS21210 (FL)

Record details

NPI number1497287734
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Therapy And Health Centers Inc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Ashland