Active NPI
Cornelia H Glenn, CRNA
- Certified Registered Nurse Anesthetist
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-088200
- Practice address
- 1118 Ross Clark Circle
Suite 700
Dothan, AL 36301-3030 - Phone
- (334) 793-5105
- Fax
- (334) 671-5073
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-088200 | AL | Primary |
Addresses
Primary practice location
1118 Ross Clark Circle
Suite 700
Dothan, AL 36301-3030
Mailing address
1118 Ross Clark Circle
Suite 700
Dothan, AL 36301-3030
Phone (334) 793-5105
Other names 1
- Cornelia H McCann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000
Hospital & facility affiliations
- HCA Florida Capital Hospital
- Tallahassee Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-088200 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Houston County Healthcare Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Alabama Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105
2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
3334 Capital Medical Blvd
Ste 500
Tallahassee, FL 32308
Phone (850) 877-4688
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
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.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Ambulatory Surgical Clinic/Center
- Dothan, AL
- NPI 1346349164
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1366586604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIRCLE",
"address_2": "SUITE 700",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013030",
"telephone_number": "334-793-5105",
"fax_number": "334-671-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIRCLE",
"address_2": "SUITE 700",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013030",
"telephone_number": "334-793-5105",
"fax_number": "334-671-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "CORNELIA",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-088200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORNELIA",
"last_name": "MCCANN",
"middle_name": "H",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.