Edward Ivan Glynn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49530 Issued in TN

Practice address

751 Cool Springs Blvd Ste 204
Franklin, TN 37067-2725

Phone

(629) 252-7880

Fax

(629) 252-7881

NPI assigned

Aug 19, 2005

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harness Health Pharmacy - Central Pharmacy Services LLC

  dba Harness Health Pharmacy #502

  • Community/Retail Pharmacy
  • Richmond, VA
  • NPI 1619222767
  NPD (past)
• Roanoke Valley Health Services Inc

  dba Vidant Cancer Care Clinic- Roanoke Rapids

  • Medical Oncology Physician
  • Roanoke Rapids, NC
  • NPI 1336771112
  NPD (past)
• Roanoke Valley Health Services Inc

  dba Wildwood Medical Clinic

  • Family Medicine Physician
  • Henrico, NC
  • NPI 1881704997
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1386636983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 COOL SPRINGS BLVD STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672725",
            "telephone_number": "629-252-7880",
            "fax_number": "629-252-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 COOL SPRINGS BLVD STE 204",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672725",
            "telephone_number": "629-252-7880",
            "fax_number": "629-252-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "EDWARD",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "49530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ann Gleason, LMT, CLT
• Ashontae Gloudoua
• Barbara Meagan Glover, CCC-SLP
• Carrie Ann Glover, BCBA
• Christopher Charles Glovich, PHARMD
• James Goddard, LPC-MHSP
• Steven Richard Goertz, M.D.
• Laurie C Goerzen, AFNP
• Jordan Shea Goetzke, PHARM.D.
• Amanda Lin Goke, APRN, FNP-C

• Family Medicine Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.