Celeste Lois Cook-Glenn, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

16062 Issued in MS

Practice address

413 Audubon CT
Madison, MS 39110-6910

Phone

(601) 607-3145

Fax

(601) 607-3145

NPI assigned

Oct 3, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1386738920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 AUDUBON CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106910",
            "telephone_number": "601-607-3145",
            "fax_number": "601-607-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 AUDUBON CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106910",
            "telephone_number": "601-607-3145",
            "fax_number": "601-607-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-GLENN",
        "first_name": "CELESTE",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "16062",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD.28467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Pain Center for Surgery (Fountains Specialty Surgical Center)
• Comprehensive Pain Center of Mississippi
• Seth Alan Compton, M.D.
• Connect 4 Transportation, LLC
• Sage Conner, LCSW
• Jennifer Hume Cook
• Maegan F Cook, OT
• Markesha Cook, PHARMD
• Mary Olivia Cook, DMD
• Timothy Cook, LPC, NCC, MS

• Anatomic Pathology & Clinical Pathology Physician in Madison, MS
• Providers in Madison, MS by specialty
• Anatomic Pathology & Clinical Pathology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.