Active NPI
Cheryl Lynn Gladney, M.D.
- Internal Medicine Physician
- Jackson, MS
National Provider Identifier
1366401465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15993
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 664-1300
- Fax
- (601) 292-4262
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1003680729
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1013781731
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1275307902
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1609243351
Internal Medicine
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
-
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Mississippi School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Center
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
Hospital & facility affiliations
- King'S Daughters Medical Center-Brookhaven
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110113000747 | MS | Practitioner - Hospitalist | 8729277249 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc. | Internal Medicine | Current | Accepting new patients |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Locations
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 15993 | MS | |
| Internal Medicine Physician | 207R00000X | 15993 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
1151 N State St
Suite 504
Jackson, MS 39202-2407
Phone (601) 292-4261
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123468 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2023.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1366401465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N STATE ST",
"address_2": "SUITE 504",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022407",
"telephone_number": "601-292-4261",
"fax_number": "601-292-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064",
"telephone_number": "601-664-1300",
"fax_number": "601-292-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADNEY",
"first_name": "CHERYL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "15993",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "15993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123468",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.