Glenda Faye Ganus, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-031341 Issued in AL

Practice address

14634 Saint Stephens Ave
Chatom, AL 36518-6711

Phone

(251) 847-6262

Fax

(251) 847-6277

NPI assigned

Jul 29, 2005

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chatom Primary Care PC

  • Rural Health Clinic/Center
  • Chatom, AL
  • NPI 1730158544
  Medicare reassignment NPD
• Chatom Primary Care PC

  dba Millry Primary Care

  • Rural Health Clinic/Center
  • Millry, AL
  • NPI 1326243270
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1699775643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1237",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365181237",
            "telephone_number": "251-847-6262",
            "fax_number": "251-847-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14634 SAINT STEPHENS AVE",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365186711",
            "telephone_number": "251-847-6262",
            "fax_number": "251-847-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANUS",
        "first_name": "GLENDA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-031341",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R856711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Donald, MD
• McKenzie Erin Donald, MD
• Sawyer Donald, DO
• Jenna Elmore, OTR/L
• Shannon Carlisle Fincher, LPC
• Megan Smith Gartman, MS, CCC-SLP
• Cristie Shaleigh Giles, BCBA
• Michael Wayne Goldman, M.A.
• John Leonard Hubbard Jr.
• Deah Rebecca Huff, W.H.N.P.

• Nurse Practitioner in Chatom, AL
• Providers in Chatom, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.

Verify at the official NPI Registry.