Judith A Glover, DNP, APNR, FNP-BC.
Individual provider Active NPI Family Nurse Practitioner · Auburn, GA
NPI 1154935658 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1154935658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 225843 (GA)
- Practice address
- 1101 Rock Elm Dr
Auburn, GA 30011-2393 - Phone
- (167) 823-4314
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1101 Rock Elm Dr
Auburn, GA 30011-2393
424 Church St
Nashville, TN 37219-2301
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251201000758 | GA | Practitioner - Nurse Practitioner | 0042703993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225843 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 225843 | GA | Yes |
Addresses
Primary practice location
1101 Rock Elm Dr
Auburn, GA 30011-2393
Mailing address
1101 Rock Elm Dr
Auburn, GA 30011-2393
Phone (167) 823-4314
Other providers in Auburn, GA
- Forward Focused Consulting, LLC
- Carol E., Gaines
- Generations Private Care
- Carolyn Ginnel
- Ehren Gleckler
- Marcus Antonio Gonzalez
- Grace Best Care Services LLC
- Gracewell Health and Wellness Clinic
- Gwinnett Clinic, LTD
- Nicole Hayes
All providers in Auburn, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.