Active NPI
Timothy David Gleissner
- Student in an Organized Health Care Education/Training Program
- Fort Benning, GA
National Provider Identifier
1376335893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Martin Army Community Hospital, 6600 Van Aalst Blvd
BLDG 9250
Ft. Benning, GA 31905 - Phone
- (762) 408-2613
- NPI assigned
- May 20, 2025
- Last updated
- May 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
Martin Army Community Hospital, 6600 Van Aalst Blvd
BLDG 9250
Ft. Benning, GA 31905
Mailing address
Martin Army Community Hospital, 6600 Van Aalst Blvd
BLDG 9250
Ft. Benning, GA 31905
Phone (762) 408-2613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1376335893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD",
"address_2": "BLDG 9250",
"city": "FT. BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "762-408-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD",
"address_2": "BLDG 9250",
"city": "FT. BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "762-408-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEISSNER",
"first_name": "TIMOTHY",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benning, GA
- Tiffanie Lashaun Garrison-Jeter, DMD
- Suwaro Gassama, CRNA
- Nicole Susan Gaylor, PTA
- John Smith Geise, PA
- Ryan Matthew George, M.D.
- Angelica Margarita Gonzalez Echevarria, PH.D., LCSW, MSS
- Rodney Shawn Gonzalez, M.D.
- Alycia Janae Goyner, PA-C
- Winter Jordan Grasser, DMD
- Eric Lamar Graves Sr., LICSW, PIP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.