Glen Thomas Feltham, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

39231 Issued in SC

Practice address

130 Crisanto Avenue
Suite B
Fort Mill, SC 29715

Phone

(803) 548-6464

Fax

(803) 396-8440

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

State University of New York at Buffalo School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Orthopaedics and Sports Medicine, LLCGroup PAC ID 3274801360, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenfeltham@specortho.directglo.com
• Direct secure messaging: gfeltham@soasm-sc.direct.office.nextgen.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Specialty Orthopaedics and Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Fort Mill, SC
  • NPI 1437684453

  Orthopaedic Surgery, SC

  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Sports & Spine, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Charlotte, NC
  • NPI 1629422738
  NPD (past)
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amisub of South Carolina, Inc.

  • General Acute Care Hospital
  • Rock Hill, SC
  • NPI 1457382483

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1194716381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CRISANTO AVENUE",
            "address_2": "SUITE B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "803-548-6464",
            "fax_number": "803-396-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CRISANTO AVENUE",
            "address_2": "SUITE B",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "803-548-6464",
            "fax_number": "803-396-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1393 Celanese Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321722",
            "country_code": "US",
            "telephone_number": "803-548-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTHAM",
        "first_name": "GLEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "39231",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "39231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Braxmeier Fancher, PT
• Rhett Farmer, DMD
• Katie Lyn Faust, M.A., CCC- SLP
• Fearless Enterprise in Home Care
• Ryan Benson Feemster, M.ED, NCC, LPC-A
• Regina Myatt Felts, LPC
• Kashae Ferguson, APN
• Katrina Fetherolf, M.RC, RBT
• Meghan Bynum Fields, FNP
• Gary Fike Jr., AUD

• All providers in Fort Mill, SC
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.