Active NPI
Glenn D. Meyers, M.D.
- Internal Medicine Physician
- Palm Coast, FL
National Provider Identifier
1639319080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52457
- Practice address
- 264A Palm Coast Pkwy NE
Palm Coast, FL 32137-8217 - Phone
- (386) 446-5505
- NPI assigned
- Feb 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME52232 | FL | |
| Internal Medicine Physician | 207R00000X | 0101258301 | VA | |
| Internal Medicine Physician | 207R00000X | 52457 | TN | Primary |
Addresses
Primary practice location
264A Palm Coast Pkwy NE
Palm Coast, FL 32137-8217
Mailing address
333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (615) 454-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME52232 | FL | MD | Internal Medicine Physician |
| 52457 | TN | MD | Internal Medicine Physician |
| 0101258301 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Institute for Cardiovascular Care PA | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Interoperability endpoints
- glenn.meyers@989059681681412.direct.elationemr.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- St Augustine, FL
- NPI 1649383845
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
VA
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1437197530
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1639319080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST STE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011835",
"telephone_number": "615-454-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264A PALM COAST PKWY NE",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378217",
"telephone_number": "386-446-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "GLENN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-25",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME52232",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101258301",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "52457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.