Individual provider Active NPI

Glenda Truesdell Collins, NP-C

  • Family Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1104396209
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22337 Issued in SC
Practice address
690 Medical Park Dr Ste 300
Aiken, SC 29801-4987
Phone
(800) 809-1265
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22337 SC Primary
Family Nurse Practitioner 363LF0000X NP000462 GA

Addresses

Primary practice location

690 Medical Park Dr Ste 300
Aiken, SC 29801-4987

Mailing address

690 Medical Park Dr Ste 300
Aiken, SC 29801-4987
Phone (800) 809-1265

Other practice location 1

404 Town Park Blvd
Evans, GA 30809-6504
Phone (800) 809-1265 ext. 1014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190218000183 SC Practitioner - Nurse Practitioner 7113265166 Reassigns benefits to 1 organization
I20211115002000 GA Practitioner - Nurse Practitioner 7113265166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

404 Town Park Blvd
Suite 201
Evans, GA 30809-3491
Phone (800) 809-1265

690 Medical Park Dr
Suite 300
Aiken, SC 29801-4987
Phone (803) 771-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP000462GAMDFamily Nurse Practitioner
22337SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC CurrentSince Nov 29, 2021 Accepting new patients

Locations

404 Town Park Blvd
Ste 201
Evans, GA 30809

690 Medical Park Dr
Ste 300
Aiken, SC 29801

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1104396209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR STE 300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014987",
            "telephone_number": "800-809-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR STE 300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014987",
            "telephone_number": "800-809-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Town Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308096504",
            "country_code": "US",
            "telephone_number": "800-809-1265 x1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GLENDA",
        "middle_name": "TRUESDELL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22337",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP000462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.