Active NPI
Jeffrey Thurman Glass, MD
- Neurology Physician
- Rome, GA
National Provider Identifier
1144381500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 031743
- Practice address
- 550 Redmond Rd NW
Rome, GA 30165-1416 - Phone
- (706) 233-8512
- Fax
- (706) 233-8513
- NPI assigned
- Dec 12, 2006
- Last updated
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 031743 | GA | Primary |
Addresses
Primary practice location
550 Redmond Rd NW
Rome, GA 30165-1416
Mailing address
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (706) 295-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000427457A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jglass@hamilton.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031743 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients |
Locations
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
Interoperability endpoints
- jglass@hamilton.cernerdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1144381500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 MARTHA BERRY BLVD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651625",
"telephone_number": "706-295-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651416",
"telephone_number": "706-233-8512",
"fax_number": "706-233-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "JEFFREY",
"middle_name": "THURMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "031743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000427457A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jglass@hamilton.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Hamilton Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1200 Memorial Dr",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307202529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.