Active NPI
Glynn M Wittber, MD
- Obstetrics & Gynecology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD30825
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 660-8300
- Fax
- (731) 660-8301
- NPI assigned
- Mar 10, 2006
- Last updated
- Sep 9, 2025
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD30825 | TN | Primary |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT University Medical Associates Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Tennessee | Current | Accepting new patients | |
| Obhg Tennessee, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Tennessee | Current | Accepting new patients | |
| University of Tennessee | Current | Accepting new patients | |
| University of Tennessee | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000
1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350
Interoperability endpoints
- glynnwittber@jcpa.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Jackson, TN
- NPI 1285924977
-
dba UT Internal Medicine & Ob/Gyn Center
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1295751386
-
dba West Tennessee Medical Group UT Medicine
- Family Medicine Physician
- Jackson, TN
- NPI 1023572344
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1285629386
-
dba Univ. of TN Health Science Center College of Nursing
- Family Nurse Practitioner
- Memphis, TN
- NPI 1174221337
-
dba University Family Physicians
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1689631137
-
- Family Medicine Physician
- Jackson, TN
- NPI 1780686436
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1720056278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-660-8300",
"fax_number": "731-660-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTBER",
"first_name": "GLYNN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD30825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.