Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720217367 Individual Practitioner Male Practitioner

Dr. David Edward Gilliam , MD

Pediatrics • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Gilliam, MD is a certified Pediatrics practicing in Jackson, MS. With approximately 17 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2009, Dr. Gilliam delivers high-quality medical care to the local community at 2500 N STATE ST.

Dr. Gilliam is affiliated with State Of Mississippi-University Of Mississippi Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6018155300
Fax 6019846665
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +2.4 yrs vs City Avg
City Avg: 14.6 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
134 Specialists

Practicing in Jackson, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilliam (17 Years) 17 Yrs
Jackson Specialty Average (14.6 Years) 14.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $200.00 $121.15

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 21947

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MS 21947

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04321325 (MS)
Medicaid State Provider ID
2406841 (LA)
Commercial Insurance / Payer ID Railroad Medicare Ptan
P01713170 (MS)

Hospital & Practice Group Affiliations

State Of Mississippi-University Of Mississippi Medical Center

2500 N State St, Jackson, MS 392164500

State Of Mississippi-University Of Mississippi Medical Center

2500 N State St, Jackson, MS 392164500

Phone: 6019846441

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Doctor of Osteopathic Medicine (D.O.)

Dr. Rachael Faught , DO

Internal Medicine

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Doctor of Osteopathic Medicine (D.O.)

Dr. Williams Crews , MD

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Doctor of Medicine (M.D.)

NPI 1174603781

Doctor of Medicine (M.D.)

Dr. J. Pollard , MD

Internal Medicine - Cardiovascular Disease

NPI 1174786651

Doctor of Medicine (M.D.)

Dr. Lampros Papadimitriou , MD, PhD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1205322385

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6018155300)

📍
Updated Business Mailing Address October 25, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6018155300)

👤
Provider Name / Credentials Updated October 25, 2016

Recorded as DAVID GILLIAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Internal Medicine (License #21947 in MS)

🟢
Initial NPI Registration & Enumeration July 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720217367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2009
Last Update: October 25, 2016
Sole Proprietor: No

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6018155300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.