Individual provider Active NPI

Abigail Jessica Glass, FNP-C

  • Family Nurse Practitioner
  • Edison, GA
National Provider Identifier
1508492158
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218980 Issued in GA
Practice address
265 Turner St
Edison, GA 39846-6039
Phone
(229) 835-2251
Fax
(229) 835-2100
NPI assigned
Mar 16, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218980 GA Primary

Addresses

Primary practice location

265 Turner St
Edison, GA 39846-6039

Mailing address

265 Turner St
Edison, GA 39846-6039
Phone (229) 254-7056

Other practice location 1

208 N Cuthbert St
Colquitt, GA 39837-3517
Phone (229) 758-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL colquitt Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200424002052 GA Practitioner - Nurse Practitioner 0244660660 Reassigns benefits to 3 organizations
I20230519001684 FL Practitioner - Nurse Practitioner 0244660660 Reassigns benefits to 2 organizations
I20230522001569 AL Practitioner - Nurse Practitioner 0244660660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
South Georgia Emergency Medicine Associates PCGroup PAC ID 4880850775, 33 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

4280 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8000

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN218980GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
South Georgia Emergency Medicine Associates PC CurrentSince Apr 1, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 15, 2023 Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County CurrentSince Mar 18, 2022 Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Paragon Emergency Services LLC CurrentSince Mar 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 15, 2023 Accepting new patients
Flowers HB Medical Services LLC CurrentSince Dec 18, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1420 N Brindlee Mountain Pkwy
Arab, AL 35016
Phone (256) 677-4552

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

208 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3304

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Interoperability endpoints

  • Direct secure messaging: abbyglass3@hamc.cernerdirect.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508492158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 TURNER ST",
            "city": "EDISON",
            "state": "GA",
            "postal_code": "398466039",
            "telephone_number": "229-254-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 TURNER ST",
            "city": "EDISON",
            "state": "GA",
            "postal_code": "398466039",
            "telephone_number": "229-835-2251",
            "fax_number": "229-835-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N Cuthbert St",
            "address_purpose": "LOCATION",
            "city": "Colquitt",
            "state": "GA",
            "postal_code": "398373517",
            "country_code": "US",
            "telephone_number": "229-758-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ABIGAIL",
        "middle_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "colquitt",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 N Cuthbert St",
            "city": "Colquitt",
            "state": "GA",
            "country_code": "US",
            "postal_code": "398373517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, GA

Sources for this page

Verify at the official NPI Registry.