Sheryl Glass

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0008961597 Issued in GA

Practice address

4760 Cascade Rd SW
Atlanta, GA 30331-7348

Phone

(404) 625-1688

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Philpot Personal Care Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atlanta, GA
  • NPI 1255525952
  NPD (past) Authorized official
• Philpot Personal Care Home

  • Home Health Agency
  • Atlanta, GA
  • NPI 1689860256
  NPD (past) Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1033718739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-625-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317348",
            "telephone_number": "404-625-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0008961597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Glass, M.D.
• Joshua H Glass, D.C.
• Kenneth Andrew Glass, CAA
• Lisa Glass, MA, MED, NCC
• Roger Ivan Glass, MD
• Gabriella Elena Glassman, MD
• Jacob W Glazier, PHD, MSED, LPC, NCC
• Charise L Gleason, N.P.
• Courtney Nicole Gleason, M.D.
• John R. Gleason, M.D.

• Nurse's Aide in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.