Individual provider Active NPI

William G Glover, PA

  • Surgical Physician Assistant
  • Gallatin, TN
National Provider Identifier
1215211677
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2001 Issued in TN
Practice address
300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066
Phone
(615) 461-7355
Fax
(615) 461-7418
NPI assigned
Oct 4, 2011
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2001 TN
Surgical Physician Assistant 363AS0400X 2001 TN Primary

Addresses

Primary practice location

300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066

Mailing address

300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066
Phone (615) 461-7355

Other identifiers 1

IdentifierTypeStateIssuer
1529576MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000262 TN Practitioner - Physician Assistant 5395918064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

179 Hancock St
Suite 404
Gallatin, TN 37066-6347
Phone (615) 328-3740

225 Big Station Camp Blvd
Gallatin, TN 37066-8466

300 Steam Plant Rd
Gallatin, TN 37066-3089

555 Hartsville Pike
Gallatin, TN 37066-2400
Phone (615) 328-8888

934 S Broadway St
Suite C
Portland, TN 37148-1718
Phone (615) 449-0990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2001TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince May 1, 2020 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

179 Hancock St
Ste 404
Gallatin, TN 37066
Phone (615) 328-3740

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

556 Hartsville Pike
Gallatin, TN 37066
Phone (615) 461-7335

101 Physicians Way
Ste 111
Lebanon, TN 37090
Phone (615) 235-8700

1420 W Baddour Pkwy
Ste 100
Lebanon, TN 37087
Phone (615) 257-0190

934 S Broadway St
Ste C
Portland, TN 37148
Phone (615) 325-6446

Interoperability endpoints

  • Direct secure messaging: william.glover.1@19363.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1215211677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD.",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-461-7355",
            "fax_number": "615-461-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD.",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-461-7355",
            "fax_number": "615-461-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2001",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529576",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.