Active NPI
Gloria Jean Filmore, RN
- Psychiatric/Mental Health Registered Nurse
- Thomasville, GA
National Provider Identifier
1215066311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN064938
- Practice address
- 1102 Smith Ave
Thomasville, GA 31792-5739 - Phone
- (229) 227-5477
- Fax
- (229) 227-5447
- NPI assigned
- Mar 5, 2007
- Last updated
- Jun 30, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN064938 | GA | Primary |
Addresses
Primary practice location
1102 Smith Ave
Thomasville, GA 31792-5739
Mailing address
203 8TH Ave NW
Cairo, GA 39828-1927
Phone (229) 377-7877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN064938 | Other | GA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN064938 | GA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1215066311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 8TH AVE NW",
"city": "CAIRO",
"state": "GA",
"postal_code": "398281927",
"telephone_number": "229-377-7877",
"fax_number": "229-227-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SMITH AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925739",
"telephone_number": "229-227-5477",
"fax_number": "229-227-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILMORE",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN064938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN064938",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.