Individual provider Active NPI

Garrison John Glavich Jr., MD

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1255837324
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101278303 Issued in VA
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(757) 388-3000
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0101278303 VA
Nuclear Radiology Physician 2085N0904X 0101278303 VA
Diagnostic Radiology Physician 2085R0202X 0101278303 VA Primary

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

PO Box 890941
Charlotte, NC 28289-0941
Phone (800) 475-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20230818001486 VA Practitioner - Diagnostic Radiology 1355699778 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Associates of Fredericksburg LTDGroup PAC ID 2567447261, 69 clinicians
Medical Imaging of Fredericksburg, LLCGroup PAC ID 8426033135, 34 clinicians
Dominion Imaging LLCGroup PAC ID 4688003445, 45 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1571

1201 Sam Perry Blvd
Suite 102
Fredericksburg, VA 22401-4490
Phone (540) 741-7025

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-8121

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101278303VAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Fredericksburg, LLC Current Accepting new patients
Medical Imaging of Fredericksburg, LLC CurrentSince Jul 1, 2024 Accepting new patients
Dominion Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Jul 8, 2023 Accepting new patients
Medical Imaging of Fredericksburg, LLC CurrentSince Jul 1, 2024 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Meritus Medical Center Inc Nuclear Radiology CurrentSince Mar 23, 2026 Accepting new patients
Chesapeake Radiologists LTD Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations (25 of 36)

1805 W City Dr
Ste H
Elizabeth City, NC 27909
Phone (252) 334-1602

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

5501 Plank Rd
#100
Fredericksburg, VA 22407
Phone (540) 741-3190

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

10401 Spotsylvania Ave
Ste 103
Fredericksburg, VA 22408
Phone (540) 741-0555

10401 Spotsylvania Ave
Ste 207
Fredericksburg, VA 22408

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

1201 Sam Perry Blvd
Ste 102
Fredericksburg, VA 22401
Phone (540) 741-7025

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

306 E 6th Ave
Kenbridge, VA 23944
Phone (434) 676-8021

11131 Journal Pkwy
Ste B
King George, VA 22485
Phone (540) 709-5178

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

114 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-7890

8364 Bell Creek Rd
Mechanicsville, VA 23116

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1255837324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890941",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890941",
            "telephone_number": "800-475-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVICH",
        "first_name": "GARRISON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101278303",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101278303",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101278303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.