Individual provider Active NPI

Angelica Vanessa Glover, M.D.

  • Maternal & Fetal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1447517271
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2016-00778 Issued in NC
Practice address
1718 E 4TH St Ste 807
Charlotte, NC 28204-3280
Phone
(704) 384-5701
Fax
(704) 384-5642
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 2016-00778 NC
Student in an Organized Health Care Education/Training Program 390200000X
Maternal & Fetal Medicine Physician 207VM0101X 2016-00778 NC Primary

Addresses

Primary practice location

1718 E 4TH St Ste 807
Charlotte, NC 28204-3280

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-3422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aglover886122@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160906000293 NC Practitioner - Obstetrics/Gynecology 5991955379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

1718 E 4TH St
Suite 404
Charlotte, NC 28204-3193
Phone (704) 384-5701

620 Summit Crossing PL
Suite 108C
Gastonia, NC 28054-2189
Phone (704) 671-6912

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jun 19, 2021 Accepting new patients
Novant Medical Group, Inc. Maternal & Fetal Medicine CurrentSince Jun 19, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services, LLC Maternal & Fetal Medicine CurrentSince May 27, 2023 Accepting new patients
Caromont Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Caromont Medical Group Inc Maternal & Fetal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Caromont Medical Group Inc Maternal & Fetal Medicine Current Accepting new patients
NMG Health Services, LLC CurrentSince May 27, 2023 Accepting new patients
NMG Health Services LLC Current Accepting new patients
NMG Health Services, LLC Maternal & Fetal Medicine Past Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

1718 E 4th St
Ste 807
Charlotte, NC 28204
Phone (704) 375-5755

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

1718 E 4th St
Ste 404
Charlotte, NC 28204
Phone (704) 384-5393

19475 Old Jetton Rd
Ste 101
Cornelius, NC 28031
Phone (704) 384-5701

620 Summit Crossing Pl
Ste 108C
Gastonia, NC 28054
Phone (704) 671-6912

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1450 Matthews Township Pkwy
Ste 410
Matthews, NC 28105
Phone (704) 316-5105

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1447517271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 807",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043280",
            "telephone_number": "704-384-5701",
            "fax_number": "704-384-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "984-974-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "ANGELICA",
        "middle_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "2016-00778",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2016-00778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aglover886122@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St Ste 807",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.