Individual provider Active NPI

Glenn David Golaszewski, M.D.

  • Family Medicine Physician
  • Dobson, NC
National Provider Identifier
1750351557
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200101205 Issued in NC
Practice address
105 N Crutchfield St # 2
Dobson, NC 27017-8804
Phone
(336) 789-2922
Fax
(336) 789-0895
NPI assigned
Jan 24, 2006
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200101205 NC Primary
Family Medicine Physician 207Q00000X 0101245263 VA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 200101205 NC
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 0101245263 VA

Addresses

Primary practice location

105 N Crutchfield St # 2
Dobson, NC 27017-8804

Mailing address

PO Box 325
Dobson, NC 27017-0325
Phone (336) 789-8292

Other practice location 1

7599 Carrollton Pike
Galax, VA 24333-6800
Phone (276) 728-1030

Other identifiers 2

IdentifierTypeStateIssuer
1297NOtherNCBCBS OF NC
891297NMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggolaszewski@mtnvalleyhospice.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080929000425 NC Practitioner - Hospice/Palliative CarePractitioner - Family Practice 6204912694 Reassigns benefits to 1 organization
I20081007000273 VA Practitioner - Family Practice 6204912694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Surry County IncGroup PAC ID 2961448741, 8 clinicians

Practice addresses (Care Compare)

1427 Edgewood Dr
Mount Airy, NC 27030-5215
Phone (888) 789-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200101205NCMDFamily Medicine Physician
0101245263VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Surry County, Inc Hospice and Palliative Medicine CurrentSince Apr 15, 2015 Accepting new patients
Hospice of Surry County, Inc Hospice and Palliative Medicine CurrentSince Feb 23, 2013 Accepting new patients
Hospice of Surry County, Inc Family Medicine Past Accepting new patients

Locations

105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922

1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922

1427 Edgewood Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-2922

401 Technology Ln
Ste 200
Mount Airy, NC 27030
Phone (336) 789-2922

208 N Jackson St
Yadkinville, NC 27055
Phone (336) 679-2466

7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030

1477 Carrollton Pike
Hillsville, VA 24343
Phone (276) 728-1030

730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountain Valley Hospice & Palliative CareDobson, NC, CCN 341546 Hospice Contracted Managing Employee Sep 2, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1750351557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170325",
            "telephone_number": "336-789-8292",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST # 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 Carrollton Pike",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243336800",
            "country_code": "US",
            "telephone_number": "276-728-1030",
            "fax_number": "276-728-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLASZEWSKI",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245263",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "200101205",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101245263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1297N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891297N",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggolaszewski@mtnvalleyhospice.org",
            "affiliation": "N",
            "address_1": "105 N Crutchfield St # 2",
            "city": "Dobson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270178804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.