Petra S Glover, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN150430 Issued in GA

Practice address

2300 Manchester Expy
Ste 1003
Columbus, GA 31904-6802

Phone

(706) 565-7382

Fax

(706) 565-9110

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Cardiology Associates PCGroup PAC ID 1557356995, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: petra.glover.1@12580.direct.athenahealth.com

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.

• Columbus Cardiology Associates, PC

  • Interventional Cardiology Physician
  • Columbus, GA
  • NPI 1407947625
  Medicare reassignment Care Compare group NPD
• St. Francis Physician Practices LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• SFH Columbus Cardiology, LLC

  • Cardiovascular Disease Physician
  • Columbus, GA
  • NPI 1255747077
  NPD
• St Francis Physician Practices LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, GA
  • NPI 1336514777
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• St Francis Physician Practices LLC

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, GA
  • NPI 1982079323
  NPD (past)
• St. Francis Center for Surgical Care, LLC

  • Surgery Physician
  • Columbus, GA
  • NPI 1891861043
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1730615790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7335",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087335",
            "telephone_number": "706-320-3128",
            "fax_number": "706-320-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE 1003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-565-7382",
            "fax_number": "706-565-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "PETRA",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN150430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanika Nicole Glenn
• Glojoseli Inc
• Glory Brothers Transport LLLP
• Glory Hospice & Palliative Care Company
• Melissa Lynn Glover
• Waytika Glover
• David Michael Gloystein, M.D.
• Leonard C. Glynn, PA-C
• GML Behavioral Services LLC
• Susan Jane Gniot, MS

• Adult Health Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.