Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154483113 Individual Practitioner Female Practitioner

Jaclyn P Gilliam , CNM

Advanced Practice Midwife • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaclyn Gilliam, CNM is a certified Advanced Practice Midwife practicing in Longview, TX. With approximately 27 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1999, Jaclyn Gilliam delivers high-quality medical care to the local community at 1761 W LOOP 281.

Jaclyn Gilliam is affiliated with Longview Wellness Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1761 W Loop 281

Longview, TX 756042734

Telephone 9037582610
Fax 9037587081
Associated Practice Facility / Clinic
🏢 Longview Wellness Center Inc Facility NPI 1932598752

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in Longview, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +10.7 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Longview, TX (648 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilliam (27 Years) 27 Yrs
Longview Specialty Average (16.3 Years) 16.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-26
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

State License TX AP109416

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
124101006 (TX)
Medicaid State Provider ID
124101005 (TX)

Hospital & Practice Group Affiliations

Longview Wellness Center Inc

1761 W Loop, Longview, TX 756042734

Phone: 9037582610

Secondary Practice Locations

705 E Marshall Ave Ste 3000

Longview, TX 756015661

Phone: 9037582610

1107 E Marshall Ave

Longview, TX 756015602

Phone: 9037582610

802 Medical Dr Ste 101

Longview, TX 756055169

Phone: 9037582610

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ralph Turner , MD

Obstetrics & Gynecology

NPI 1013950997

Doctor of Medicine (M.D.)

Lizeth Garcia , RN

Registered Nurse - Case Management

NPI 1023650082

Registered Nurse

Randy Moore , PA-C

Physician Assistant

NPI 1053627265

Physician Assistant (Certified)

Nora Eades , LCSW

Social Worker - Clinical

NPI 1053712547

Licensed Clinical Social Worker

Lexi Monds , FNP-C

Nurse Practitioner - Family

NPI 1063285856

Family Nurse Practitioner (Certified)

Sandra Aguilar , APRN

Nurse Practitioner - Family

NPI 1083486989

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2024

Advanced Practice Midwife (License #AP109416 in TX)

📍
Updated Practice Location September 25, 2023

Registered at 1761 W LOOP 281, LONGVIEW, TX 756042734 (Tel: 9037582610)

NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2013

Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9037582610)

📍
Updated Business Mailing Address April 02, 2013

Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9036758261)

👤
Provider Name / Credentials Updated April 02, 2013

Recorded as JACLYN GILLIAM, CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Advanced Practice Midwife (License #547421 in TX)

🟢
Initial NPI Registration & Enumeration December 15, 2006

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: 1154483113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

1107 E Marshall Ave

Longview, TX 756015602

Phone: 9036758261

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.