Individual provider Active NPI

Glenn Allin Raymond, MD

  • Obstetrics & Gynecology Physician
  • Rock Hill, SC
National Provider Identifier
1437153483
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21510 Issued in SC
Practice address
360 S Herlong Ave
Rock Hill, SC 29732-1160
Phone
(803) 366-4171
Fax
(803) 366-6890
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21510 SC Primary

Addresses

Primary practice location

360 S Herlong Ave
Rock Hill, SC 29732-1160

Mailing address

360 S Herlong Ave
Rock Hill, SC 29732-1160
Phone (803) 366-4171

Other identifiers 1

IdentifierTypeStateIssuer
T56016MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000034 SC Practitioner - Obstetrics/Gynecology 1658364831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

200 Herlong Ave S
Rock Hill, SC 29732-1182

360 Herlong Ave S
Rock Hill, SC 29732-1160
Phone (803) 366-4171

986 Wellness Way
Suite 240
Fort Mill, SC 29715-7352
Phone (803) 232-9232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21510SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Obstetrics & Gynecology CurrentSince Oct 23, 2017 Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients

Locations

986 Wellness Way
Ste 350
Fort Mill, SC 29715
Phone (803) 274-1050

360 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-4171

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: glenn.raymond.1@14929.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1437153483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-366-4171",
            "fax_number": "803-366-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-366-4171",
            "fax_number": "803-366-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "GLENN",
        "middle_name": "ALLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T56016",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.