Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Carolyn Johnson Gilliam, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154594273

Kimberly Carolyn Johnson Gilliam, DO practises Psychiatry in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2005, 21 years ago. Practices with Princeton House Provider Group LLC, a 45-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
21
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NJ, PA
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS017109 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25MB08474800 (NJ)

Record details

NPI number1154594273
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESMay 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Princeton House Provider Group Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients27
Services billed 29 a service is one billed item, such as a visit, a test or a procedure
Average patient age58

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Princeton House Provider Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 45 clinicians in the practice; 12 are shown here.

Other providers in Philadelphia