Jeffrey A. Glezer, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28505 Issued in TN

Practice address

3223 Lakeshore Dr
Old Hickory, TN 37138-2212

Phone

(217) 979-9396

Fax

(000) 000-0000

NPI assigned

Sep 23, 2005

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9172/brand/1/csg/1/fhir/r4

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.

• John Lawson Surgical Group, PC

  • Surgery Physician
  • Johnson City, TN
  • NPI 1487699617
  NPD (past)
• Memphis Surgical Specialists, PC

  • Surgery Physician
  • Memphis, TN
  • NPI 1407981467
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1184610263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 LAKESHORE DR",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382212",
            "telephone_number": "217-979-9396",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 LAKESHORE DR",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382212",
            "telephone_number": "217-979-9396",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEZER",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "28505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119517",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Call Ambulance LLC
• Erin Elizabeth Flanders, COTA/L
• Danilo Correa Flores, P.T.
• Isabella Ellen Flynn
• Harold Leffel Gentry, M.D.
• Tamara Simpson Griffin, RN
• Grin Doctors PLLC
• H&R Care Transportation LLC
• Leonard Hales, RN
• Kayla Elizabeth Hartman, RDN, LDN, CLC

• Surgery Physician in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.