Organization Active NPI

Robert V. Glover, Jr., M.D., P.C.

  • Cardiovascular Disease Physician
  • Albany, GA
National Provider Identifier
1740540830
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036161 Issued in GA
Legal business name
ROBERT V. GLOVER, JR., M.D., P.C.
Practice address
810 13TH Ave Ste 101
Albany, GA 31701-1333
Phone
(229) 432-1818
Fax
(229) 432-1933
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Robert V Glover Jr., M.D.NPI 1760547913
Title
Owner/Physician
Phone
(229) 432-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 036161 GA Primary

Addresses

Primary practice location

810 13TH Ave Ste 101
Albany, GA 31701-1333

Mailing address

810 13TH Ave Ste 101
Albany, GA 31701-1333
Phone (229) 432-1818

Other identifiers 1

IdentifierTypeStateIssuer
000531803AMedicaidGA

Other names 1

  • ROBERT V. GLOVER, JR., M.D. F.A.C.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120529000083 GA Part B Supplier - Clinic/Group Practice 3274796479 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Locations

810 13th Ave
Ste 101
Albany, GA 31701
Phone (229) 432-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1740540830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 13TH AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011333",
            "telephone_number": "229-432-1818",
            "fax_number": "229-432-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 13TH AVE STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011333",
            "telephone_number": "229-432-1818",
            "fax_number": "229-432-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V. GLOVER, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "229-432-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "036161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000531803A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT V. GLOVER, JR., M.D. F.A.C.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.