Glenn Edward Macnichol, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

34389 Issued in NC

Practice address

110 Patrick CT
Rocky Mount, NC 27804-1743

Phone

(252) 443-0400

Fax

(252) 443-0572

NPI assigned

Apr 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Anesthesiology

Education

Pennsylvania State University College of Medicine, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Carolina Regional Orthopaedics PAGroup PAC ID 2062480239, 14 clinicians

Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304
• Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107
• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318

Merit-based Incentive Payment System (MIPS)

Final score

90.69 of 100Reported as individual

Quality

84.17

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.macnichol.1@6545.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/6545/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 and National Provider Directory roles.

• Carolina Regional Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Tarboro, NC
  • NPI 1073553509

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Comprehensive Rehab of Wilson, Inc.

  • Physical Therapist
  • Wilson, NC
  • NPI 1861450884
  Care Compare group
• Carolina Regional Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Rocky Mount, NC
  • NPI 1629018163

  Interventional Pain Medicine

  NPD
• Halifax Anesthesia and Pain Clinic, PC

  • Pain Medicine (Anesthesiology) Physician
  • Roanoke Rapids, NC
  • NPI 1942340013
  NPD (past)

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

• East Carolina Health - Chowan Inc

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health - Heritage Inc

  • General Acute Care Hospital
  • Tarboro, NC
  • NPI 1699757393
  Care Compare affiliation
• East Carolina Health-Bertie

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation
• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1245297811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041743",
            "telephone_number": "252-443-0400",
            "fax_number": "252-443-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041743",
            "telephone_number": "252-443-0400",
            "fax_number": "252-443-0572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861921",
            "country_code": "US",
            "telephone_number": "252-823-7212",
            "fax_number": "252-823-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNICHOL",
        "first_name": "GLENN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "34389",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "34389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7953696",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Burt Lyons
• Latrisha Monique Lyons, LCMHCA
• Margaret D. Mabie, MS,APRN,FNP-C,PMHNP-
• Gloria Jean Mabry
• Nitaya Reyes Mackey, IBCLC
• Macta, LLC
• Evelyn Rudo Majachani, PMHNP
• Making a Difference Grouphome
• Marcy Maksail, MA
• Melissa Malinowski, RN, BSN, MSN, NP-C

• Interventional Pain Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.