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

Individual provider Family Medicine Physician · NPI 1538201629

Ryan Dwain Gilliam, MD is a Family Practice in Clemmons, North Carolina. Qualified in 2006, 20 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone: (336) 713-8900
Fax: (336) 702-9286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200901294 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence RTL (NC)

Record details

NPI number1538201629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address100 Kimel Forest Dr, Winston Salem, NC 27103-6074

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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