Healthcare Provider Details

I. General information

NPI: 1104499870
Provider Name (Legal Business Name): SARAH GILMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 TOWN CENTER DR STE MPN -01
ANNISTON AL
36205-4101
US

IV. Provider business mailing address

1220 KIMBERLY RD
PIEDMONT AL
36272-7505
US

V. Phone/Fax

Practice location:
  • Phone: 256-954-1874
  • Fax: 833-440-1415
Mailing address:
  • Phone: 256-453-8984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2025-022
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: