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

Timothy Gilliard, PA-C

Individual provider Physician Assistant · NPI 1396029906

Timothy Gilliard, PA-C is a Physician Assistant in Daytona Beach, Florida. Qualified in 2011, 15 years ago. Practices with Cardiology Physicians Memorial, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone: (386) 238-3289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106169 (FL)

Record details

NPI number1396029906
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing addressPo Box 9910, Daytona Beach, FL 32120-0910

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cardiology Physicians Memorial, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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