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Cassandra Gilliam

NPI 1760609895ActiveOrganization· Intermediate Care Facility, Mental Illness· Decatur, GA

Intermediate Care Facility, Mental Illness in Decatur, Georgia, registered in NPPES in April 2007. The authorized official on file is Cassandra Shea Gilliam, RN, Rn.

Overview

NPI1760609895
StatusActive
Entity typeOrganization
NPI issuedApr 19, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Mental Illness Primary310500000XRN171251GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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