Active NPI
Giouzel Glodener, M.D.
- Specialist
- Alpharetta, GA
National Provider Identifier
1528046539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 045804
- Practice address
- 1845 Lockeway Dr
Suite 404
Alpharetta, GA 30004-5928 - Phone
- (770) 343-9112
- Fax
- (770) 343-8911
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 045804 | GA | Primary |
Addresses
Primary practice location
1845 Lockeway Dr
Suite 404
Alpharetta, GA 30004-5928
Mailing address
1845 Lockeway Dr
Suite 404
Alpharetta, GA 30004-5928
Phone (770) 343-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000799939C | Medicaid | GA |
Other names 1
- Guzel Olegovna Tikhomirova
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045804 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| South Forsyth Family Medicine and Pediatrics LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HACFCD
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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1952599516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1528046539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 LOCKEWAY DR",
"address_2": "SUITE 404",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045928",
"telephone_number": "770-343-9112",
"fax_number": "770-343-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 LOCKEWAY DR",
"address_2": "SUITE 404",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045928",
"telephone_number": "770-343-9112",
"fax_number": "770-343-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLODENER",
"first_name": "GIOUZEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "045804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799939C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GUZEL",
"last_name": "TIKHOMIROVA",
"middle_name": "OLEGOVNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.