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

Gary Wayne Gilliam, FNP

Individual provider Family Nurse Practitioner · NPI 1154704708

Gary Wayne Gilliam, FNP is a Nurse Practitioner in Dungannon, Virginia. Qualified in 2015, 11 years ago. Practices with Clinch River Health Services Inc, an 11-clinician group. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937
Phone: (276) 467-2201
Fax: (276) 467-2673
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 0024172696 (VA)

Record details

NPI number1154704708
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Clinch River Health Services Inc — 11 clinicians
Accepts Medicare assignment Not indicated

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