Mark A Globerman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003396 Issued in GA

Practice address

9 Hospital Park
Moultrie, GA 31768-6772

Phone

(229) 890-1442

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Colquitt Regional Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Moultrie, GA
  • NPI 1902211642

  GA

  Medicare reassignment
• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094

  GA

  Medicare reassignment
• SGMC Physician Network Inc

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1417597170

  GA

  Medicare reassignment
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649

  GA

  Medicare reassignment
• Colquitt Regional Medical Center

  • Specialty Pharmacy
  • Moultrie, GA
  • NPI 1720820665
  NPD
• Colquitt Regional Medical Center

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1962850396
  NPD
• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362
  NPD
• Clubview Emergency Physicians

  • Emergency Medicine Physician
  • Moultrie, GA
  • NPI 1437463072
  NPD (past)
• Emergency Medicine South LLC

  • Emergency Medicine Physician
  • Valdosta, GA
  • NPI 1194785170
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235299249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686772",
            "telephone_number": "229-890-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686772",
            "telephone_number": "229-890-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOBERMAN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibson Wellness, LLC
• Tiffanie Gibson
• Max Gierczak, ATC
• Julio Antonio Ginel, LMHC, LPC
• Give Kindness Wing
• Emily Bailey Goff, ST
• Jeremy Zach Goodman, MD
• Shana Goodno, FNP-BC
• Johnny Levar Gosier, D.M.D.
• Matthew Gould, PA

• All providers in Moultrie, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.