Shelle Rae Glover, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

073349 Issued in GA

Practice address

304 Shorter Ave NW Ste 201
Rome, GA 30165-4256

Phone

(706) 509-3300

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coosa Valley Home Health, an Amedisys Home health agency, Rome, GA, CCN 117041
• Atrium Health Floyd Medical Center Heyman Hospice Care Hospice, Rome, GA, CCN 111524
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
• Adventhealth Redmond Hospital, Rome, GA, CCN 110168
• Fifth Avenue Health Care Nursing home, Rome, GA, CCN 115319
• Magnolia Place Nursing and Rehabilitation Nursing home, Rome, GA, CCN 115774

Merit-based Incentive Payment System (MIPS)

Final score

98.9 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sglover914628@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/ZfysrRkN6BMVsGu-olfQgalxgHmZoVii/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lavender Mountain Senior Living, Inc.

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1124633268

  Adp of the SNF

  CMS ownership
• North Georgia Care Services, Inc

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1760483606

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Floyd Healthcare Management Inc

  • Family Medicine Physician
  • Rome, GA
  • NPI 1689610149
  Medicare reassignment Care Compare group NPD
• Floyd Physicians, LLC

  • Neonatal-Perinatal Medicine Physician
  • Rome, GA
  • NPI 1992814586
  Medicare reassignment Care Compare group NPD
• Floyd Healthcare Management Inc

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  NPD
• North Georgia Care Services, Inc

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1760483606
  NPD (past)
• Polk Medical Center, Inc

  • Critical Access Hospital
  • Cedartown, GA
  • NPI 1073927117
  NPD (past)
• Emanuel Medical Group, Inc.

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1275764615
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Rome, GA
  • NPI 1285682955
  Care Compare affiliation
• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation
• Floyd Healthcare Management Inc

  • Community Based Hospice Care Agency
  • Rome, GA
  • NPI 1699721399
  Care Compare affiliation
• Lavender Mountain Senior Living, Inc.

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1124633268

  Nursing home

  Care Compare affiliation
• North Georgia Care Services, Inc

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1760483606

  Nursing home

  Care Compare affiliation
• Redmond Park Hospital, LLC

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1003110743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHORTER AVE NW STE 201",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654256",
            "telephone_number": "706-509-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 Rockmart Hwy",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301256029",
            "country_code": "US",
            "telephone_number": "770-748-7818",
            "fax_number": "770-748-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "SHELLE",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "073349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158366A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sglover@fmc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "2370 Rockmart Hwy",
            "city": "Cedartown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301256029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sglover914628@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "304 Shorter Ave NW Ste 201",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301654256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy A Gladney, N.P.
• Barbara Glanton
• Holland Glass
• Jeffrey Thurman Glass, MD
• Global Impact International, Inc. D/B/a Lice Clinics of America - Rome
• Glowe Cares
• GMC Pharmacy LLC
• GMC Pharmacy LLC
• Daniel Timothy Gober, M.D.
• Jennifer Leigh Gober, NP

• Family Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.