Frank Eugene Glover III

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

1093225286 Issued in GA

Practice address

4562 Lacosta Dr
Albany, GA 31721-9433

Phone

(229) 869-0722

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1093225286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 LACOSTA DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219433",
            "telephone_number": "229-869-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 LACOSTA DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219433",
            "telephone_number": "229-869-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "FRANK",
        "middle_name": "EUGENE",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "1093225286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "055647299",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravii Mikel Givens
• Whitney Givens, RN
• Abigail Rose Glass, AGACNP-BC
• Glenwood Private Home Care
• Glover Dental Centre' LLC
• Marsha Danell Glover, M.D.
• Robert V Glover Jr., M.D., F.A.C.C.
• Brandon Arch Glow, PA
• Adrian Dayne Godwin, CRNA
• Gold Star EMS, LLC

• Urology Physician in Albany, GA
• Providers in Albany, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.