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

Individual provider Physician Assistant · NPI 1386468239

Jonathan Calvin Gilliam, PA is a Physician Assistant in Greensboro, North Carolina. Graduated from University of Pittsburgh School of Medicine in 2024, 2 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Pittsburgh School of Medicine
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1121 N Church St
Greensboro, NC 27401-1007
Phone: (336) 207-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1386468239
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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