Gladney Family Med Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLADNEY FAMILY MED CENTER LLC

Practice address

3119 Spring Glen Rd Ste 104
Jacksonville, FL 32207-5921

Phone

(470) 925-6802

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Richo Gladney

Title

Owner

Phone

(470) 925-6802

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1699429027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MARLOW PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 SPRING GLEN RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075921",
            "telephone_number": "470-925-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADNEY FAMILY MED CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "RICHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-925-6802"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Michelle Givens, DNP, APRN, FNP-C
• Rafaela Gjondrekaj, CAA
• Chelsea Jana Gjushi, PTA
• Darby Glackin, ATC
• Ronnie G Gladden, FNP
• Gladys Catering Service
• Glam Therapy
• Latoya Glanton
• Erika Dawn Glas, D.O.
• Shirley D Glasgow, L.M.T.

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.