Individual provider · Type 1 NPI
Cassandra Shea Gilliam, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Macon, GA
NPI number
1639652829
Active
Practice location
135 Macon West Dr
Macon, GA 31210-5652
Fax (478) 389-0204
Mailing address
1740 Rocky Creek Rd # 3822
Macon, GA 31206-3585
Other practice locations
- 2052 Watson Blvd, Warner Robins, GA 31093-3625 · (478) 207-7773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-84213-062 (KS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11037013 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14205407-4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61651272 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN171251 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Macon
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- Rendi Latrice Solis, BSN, MSN, DHAPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1063226793
- Rebekah B. Randle, REGISTERED NURSEPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1083552293
- Fridea Jenkins, MSN, APRN, PMHNP-CPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1174489603
- Kanesha Theresa Ross, PMHNPPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1215743018
- Lauren Elizabeth West, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1215880661
- Jodi Marlisa Vaughn, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1275357790
- Hayley Edmonston, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Macon, GA NPI 1346749926
About NPI 1639652829
Cassandra Shea Gilliam, PMHNP-BC's National Provider Identifier is 1639652829, issued on Sep 13, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Macon, GA. The record was last updated on Dec 9, 2025.