Shane Gilliam, M.D., P.A.
NPI 1891003802 · Primary Care Clinic/Center · Stephenville, TX
Shane Gilliam, M.D., P.A. is a Primary Care Clinic/Center organization in Stephenville, TX (NPI 1891003802).
Provider details
- NPI number
- 1891003802
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leslie Gilliam, Physician/Owner(254) 965-8760
- License
- L7278 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Family Medicine Associates of Stephenville
Registry dates
- Enumerated
- 2010-09-24
- Last updated
- 2010-09-24
Frequently asked questions
- What is Shane Gilliam, M.D., P.A.'s NPI number?
- Shane Gilliam, M.D., P.A.'s National Provider Identifier (NPI) is 1891003802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Gilliam, M.D., P.A.?
- Shane Gilliam, M.D., P.A. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shane Gilliam, M.D., P.A. located?
- Shane Gilliam, M.D., P.A.'s practice location on file with NPPES is 630 N Graham Street, Stephenville, TX 76401-3552.
- What is Shane Gilliam, M.D., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Shane Gilliam, M.D., P.A. is (254) 965-8760.
- Who is the authorized official for Shane Gilliam, M.D., P.A.?
- The authorized official listed on Shane Gilliam, M.D., P.A.'s NPPES record is Leslie Gilliam, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Gilliam, M.D., P.A.'s NPI active?
- Yes — Shane Gilliam, M.D., P.A.'s NPI (1891003802) is active in the NPPES registry as of the last update on 2010-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.