James E. Gleason Jr, MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030466 Issued in GA

Legal business name

JAMES E. GLEASON JR, MDPC

Practice address

33 Upper Riverdale Rd SW Ste 118
Riverdale, GA 30274-2642

Phone

(770) 994-6969

Fax

(888) 651-5324

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

James E Gleason Jr., MDNPI 1780649368

Title

MD

Phone

(770) 994-6969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James E Gleason Jr., MD

  • Family Medicine Physician
  • Riverdale, GA
  • NPI 1780649368
  Medicare reassignment NPD Authorized official
• Catherine Elaine Burley, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1124064316
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1013198050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962466",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966923",
            "telephone_number": "678-361-8091",
            "fax_number": "888-651-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 118",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742642",
            "telephone_number": "770-994-6969",
            "fax_number": "888-651-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. GLEASON JR, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-994-6969",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000573922D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynne Jackson, APRN, ACNPC-AG
• Kibibi A Jackson, FNP-BC
• Sharay Laparis Jacobs, CNA
• Jad Global Solutions LLC
• Sanjay Raj Jain, MD,PHD
• Erica Latrise James, PT
• Lequawn Montrell James
• Jay Kishan Jani, M.B.B.S
• Surabhi Jani, LMFT
• Christina Jarvis-Reid, LPN

• Family Medicine Physician in Riverdale, GA
• Providers in Riverdale, 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 Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.