Individual provider Active NPI

Juliet A Glover, M.D.

  • Geriatric Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1609073014
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
30875 Issued in SC
Practice address
3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894
Phone
(803) 434-4300
Fax
(803) 434-4351
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30875 SC
Geriatric Psychiatry Physician 2084P0805X 30875 SC Primary

Addresses

Primary practice location

3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894

Mailing address

3555 Harden St Ext
15 Medical Park, Suite 300
Columbia, SC 29203-6894
Phone (803) 545-5017

Other identifiers 1

IdentifierTypeStateIssuer
308759MedicaidSC

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
I20111007000219 SC Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 4789856105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 434-6771

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Phone (803) 296-5579

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30875SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 26, 2014 Accepting new patients
Prisma Health-Midlands CurrentSince May 14, 2014 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 7, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Psychiatry CurrentSince Aug 7, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince Aug 26, 2014 Accepting new patients
University Specialty Clinics - Neuropsychiatry and Behavioral Science Past Accepting new patients

Locations

610 Faison Dr
Columbia, SC 29203
Phone (803) 898-8523

3 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 296-2726

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

720 Gracern Rd
Ste 120
Columbia, SC 29210
Phone (803) 296-2585

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

3555 Harden Street Ext
Ste 141
Columbia, SC 29203
Phone (803) 434-4303

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Interoperability endpoints

  • Direct secure messaging: jglover379902@direct.ghs.myhfn.org

Organizations & group practices 7

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 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1609073014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 HARDEN ST EXT",
            "address_2": "15 MEDICAL PARK, SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-545-5017",
            "fax_number": "803-255-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 HARDEN STREET EXT STE 141",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-434-4300",
            "fax_number": "803-434-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JULIET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "30875",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "SC",
            "license": "30875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308759",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.