Zachery Aaron Glenn, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

29584 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 815-2005

Fax

(601) 815-0434

NPI assigned

Mar 21, 2019

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MS, AL, GA3 enrollments

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 3

Specialty

Emergency Medicine

Education

University of Mississippi School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians

Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

RH Emergency Medicine of Cleveland LLCGroup PAC ID 4183105232, 14 clinicians

Acs Emergency Services of Mississippi Professional AssociationGroup PAC ID 7719049998, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Jackson, MS, CCN 251590
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093
• Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315

Merit-based Incentive Payment System (MIPS)

Final score

42.86 of 100Reported as group

Quality

0

Improvement activities

40

Cost

74.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zglenn491377@direct.bmhcc.org

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.

• Acs Emergency Services of Mississippi Professional Association

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1396996997
  Medicare reassignment Care Compare group NPD
• Jackson HB Medical Services LLC

  dba Merit Health Central

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1184305856
  Medicare reassignment Care Compare group NPD
• Leake Emergency Group, LLC

  • Emergency Medicine Physician
  • Carthage, MS
  • NPI 1669028130
  Medicare reassignment Care Compare group NPD
• RH Emergency Medicine of Cleveland LLC

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1144184565
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment Care Compare group
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS

  Medicare reassignment Care Compare group
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

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

• Baptist Medical Center-Leake Inc

  • Critical Access Hospital
  • Carthage, MS
  • NPI 1205112539
  Care Compare affiliation
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Brandon Hma LLC

  dba Merit Health Rankin

  • General Acute Care Hospital
  • Brandon, MS
  • NPI 1205882669
  Care Compare affiliation
• Odyssey Healthcare Operating B, LP

  dba Gentiva

  • Community Based Hospice Care Agency
  • Jackson, MS
  • NPI 1306847868
  Care Compare affiliation
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation
• River Oaks Hospital LLC

  dba Merit Health River Oaks

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1336609767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-2005",
            "fax_number": "601-815-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-2005",
            "fax_number": "601-815-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5246 Brittany Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708089136",
            "country_code": "US",
            "telephone_number": "225-757-4142",
            "fax_number": "225-757-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ZACHERY",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "29584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nash Gleason, MD
• Parker Gleason
• Sara Hanak Gleason, M.D.
• Carolyn Kuhn Glendye, MD
• Tamara Glenn, M.D.
• Scott Glenzer, M.D.
• James Kevin Glisson, M.D.
• Global Adult Daycare, LLC
• Global Treatment Clinic of Jackson LLC
• Michelle Massad Glorioso, NP

• Emergency Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.