Active NPI
Glenn Mason, NP
- Nurse Practitioner
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R888556
- Practice address
- 670 Leigh Dr
Columbus, MS 39705-3014 - Phone
- (662) 328-1012
- Fax
- (662) 328-1507
- NPI assigned
- Jun 15, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R888556 | MS | Primary |
Addresses
Primary practice location
670 Leigh Dr
Columbus, MS 39705-3014
Mailing address
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Other practice location 1
17540 E Main St
Louisville, MS 39339-2772
Phone (662) 328-1012
Other practice location 2
4 Professional Plz
Starkville, MS 39759-1901
Phone (662) 328-1012
Other practice location 3
8613 MS Highway 12
Ackerman, MS 39735-8917
Phone (662) 328-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Hospital & facility affiliations
- Mississippi Homecare of Eupora
- BMH-Golden Triangle
- Baptist Memorial Hospital-Oktibbeha County
- Monroe Regional Hospital
- Noxubee General Critical Access Hosp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R888556 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oktibbeha County Hospital | Current | Accepting new patients | |
| The Columbus Orthopaedic Clinic, P.a. | Current | Accepting new patients | |
| The Columbus Orthopaedic Clinic, P.a. | Current | Accepting new patients | |
| The Columbus Orthopaedic Clinic, P.a. | Past | Accepting new patients |
Locations
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540
4 Professional Plz
Starkville, MS 39759
Phone (662) 323-3684
Interoperability endpoints
- glennmason@och.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Columbus, MS
- NPI 1740287374
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1154310514
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1447028352
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1356855852
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Eupora, MS
- NPI 1659483196
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1346112521
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
-
- Critical Access Hospital
- Macon, MS
- NPI 1902844194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1184074643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-328-1012",
"fax_number": "662-328-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-328-1012",
"fax_number": "662-328-1507"
}
],
"practiceLocations": [
{
"address_1": "17540 E Main St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "MS",
"postal_code": "393392772",
"country_code": "US",
"telephone_number": "662-328-1012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Professional Plz",
"address_purpose": "LOCATION",
"city": "Starkville",
"state": "MS",
"postal_code": "397591901",
"country_code": "US",
"telephone_number": "662-328-1012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8613 MS Highway 12",
"address_purpose": "LOCATION",
"city": "Ackerman",
"state": "MS",
"postal_code": "397358917",
"country_code": "US",
"telephone_number": "662-328-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "GLENN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R888556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.