Individual provider Active NPI

Dawn Beck Glisson, NP

  • Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1740531516
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN175972 Issued in GA
Practice address
901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 382-7120
Fax
(229) 391-3332
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN175972 GA Primary

Addresses

Primary practice location

901 18TH St E
Tifton, GA 31794-3648

Mailing address

907 18TH St E Ste 400
Tifton, GA 31794-3684
Phone (229) 353-3422

Other practice location 1

417 W 3rd Ave
Albany, GA 31701-1943
Phone (800) 893-9698

Other names 1

  • Dawn Marie Singleton Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dawn.glisson@trhs.cernerdirect.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121119000406 GA Practitioner - Nurse Practitioner 0648421701 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Nov 26, 2014 Accepting new patients
Colquitt Regional Emergency Physicians, LLC CurrentSince Oct 1, 2014 Accepting new patients
Tift Regional Health System Inc. CurrentSince Nov 26, 2014 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC CurrentSince Jun 25, 2024 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Mar 1, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Feb 1, 2014 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Feb 1, 2014 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2016 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

907 18th St E
Ste 400
Tifton, GA 31794

Interoperability endpoints

  • Direct secure messaging: dawn.glisson@trhs.cernerdirect.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1740531516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 18TH ST E STE 400",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943684",
            "telephone_number": "229-353-3422",
            "fax_number": "229-353-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-382-7120",
            "fax_number": "229-391-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011943",
            "country_code": "US",
            "telephone_number": "800-893-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLISSON",
        "first_name": "DAWN",
        "middle_name": "BECK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN175972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.glisson@trhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "901 18th St E",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317943648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "SINGLETON",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.